JOHN K THEKKEDAM Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004165

License Status

INACTIVE

Business

First Name

JOHN

Middle

Last Name

THEKKEDAM

Business Name

JOHN K THEKKEDAM

Original Issue Date

08/31/1990

Effective Date

08/22/2012

Expiration Date

09/30/2014

City

ST LOUIS

State

Zip

63138

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/03/2014