MARK L BRADFORD Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005367

License Status

NOT RENEWED

Business

First Name

MARK L

Last Name

BRADFORD

Business Name

MARK L BRADFORD

Original Issue Date

02/22/1997

Effective Date

09/26/2012

Expiration Date

09/30/2014

City

SPRINGFIELD

State

Zip

65806

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014