IAN WICKRAM Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001240

License Status

NOT RENEWED

Business

First Name

IAN

Last Name

WICKRAM

Business Name

IAN WICKRAM

Original Issue Date

01/01/1998

Expiration Date

11/01/1982

City

INDIANAPOLIS

State

Zip

46229

County

INDIANA

Ever Disciplined

LastModifiedDate

09/04/2005