LELAND K MARTIN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004700

License Status

INACTIVE

Business

First Name

LELAND K

Last Name

MARTIN

Business Name

LELAND K MARTIN

Original Issue Date

05/20/1993

Effective Date

10/04/2010

Expiration Date

09/30/2012

City

MINNETONKA

State

Zip

55305

County

MINNESOTA

Ever Disciplined

LastModifiedDate

07/05/2012