MARY ELLEN MENKEN Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005705

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

MENKEN

Business Name

MARY ELLEN MENKEN

Original Issue Date

05/20/1998

Effective Date

10/15/2002

Expiration Date

09/30/2002

City

BOSTON

State

Zip

02131

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/11/2005