EUGENE ALLEN SOUTHWELL Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000416

License Status

CANCELLED

Business

First Name

EUGENE ALLEN

Last Name

SOUTHWELL

Business Name

EUGENE ALLEN SOUTHWELL

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

07/12/2007