KATHLEEN G PETERSEN PHD Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004223

License Status

NOT RENEWED

Business

First Name

KATHLEEN G

Last Name

PETERSEN

Suffix

PHD

Business Name

KATHLEEN G PETERSEN PHD

Original Issue Date

12/05/1990

Effective Date

11/01/2004

Expiration Date

09/30/2004

City

RICHMOND HEIGHTS

State

Zip

63117

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005