CRYSTAL K DE VITO Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005795

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

DE VITO

Business Name

CRYSTAL K DE VITO

Original Issue Date

12/04/1998

Effective Date

11/01/2004

Expiration Date

09/30/2004

City

BALTIMORE

State

Zip

21212

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/11/2005