ROGER D FALLOT Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003193

License Status

INACTIVE

Business

First Name

ROGER D

Last Name

FALLOT

Business Name

ROGER D FALLOT

Original Issue Date

08/09/1984

Expiration Date

09/30/1992

City

SILVER SPRING

State

Zip

20901

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/03/2005