EDMUND ANTHONY O'CONNOR JR Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006009

License Status

NOT RENEWED

Business

First Name

EDMUND

Middle

ANTHONY

Last Name

O'CONNOR

Suffix

Business Name

EDMUND ANTHONY O'CONNOR JR

Original Issue Date

01/18/2000

Effective Date

10/15/2002

Expiration Date

09/30/2002

City

EAST GRAND RAPIDS

State

Zip

49506

Ever Disciplined

LastModifiedDate

09/11/2005