PENNY A PRATHER Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003409

License Status

CANCELLED

Business

First Name

PENNY A

Last Name

PRATHER

Business Name

PENNY A PRATHER

Original Issue Date

05/08/1986

Expiration Date

09/30/1990

City

MANOMET

State

Zip

02345

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/04/2005