VITO RALPH BUZZOTTA Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001656

License Status

CANCELLED

Business

First Name

VITO RALPH

Last Name

BUZZOTTA

Business Name

VITO RALPH BUZZOTTA

Original Issue Date

08/02/1973

Expiration Date

09/30/1990

City

ST LOUIS

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/04/2005