VITO RALPH BUZZOTTA Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001656

License Status

INACTIVE

Business

First Name

VITO RALPH

Last Name

BUZZOTTA

Business Name

VITO RALPH BUZZOTTA

Original Issue Date

08/02/1973

Effective Date

07/26/2000

Expiration Date

09/30/2000

City

ST LOUIS

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005