WALTER S DOMASH JR Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001976

License Status

INACTIVE

Business

First Name

WALTER

Middle

Last Name

DOMASH

Suffix

Business Name

WALTER S DOMASH JR

Original Issue Date

06/01/1976

Effective Date

08/06/2004

Expiration Date

09/30/2004

City

SAINT LOUIS

State

Zip

63128

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005