MARY A ETHERIDGE Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007317

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

ETHERIDGE

Business Name

MARY A ETHERIDGE

Original Issue Date

07/24/2007

Effective Date

07/24/2007

Expiration Date

09/30/2008

City

RALEIGH

State

Zip

27624

Ever Disciplined

LastModifiedDate

07/10/2008