WALLACE B SMITH Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001956

License Status

NOT RENEWED

Business

First Name

WALLACE B

Last Name

SMITH

Business Name

WALLACE B SMITH

Original Issue Date

01/29/1976

Expiration Date

09/30/1984

City

BAY ST LOUIS

State

Zip

39520

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

09/03/2005