LEE ANN BRENTAR Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006484

License Status

NOT RENEWED

Business

First Name

LEE

Middle

ANN

Last Name

BRENTAR

Business Name

LEE ANN BRENTAR

Original Issue Date

12/24/2002

Effective Date

09/10/2004

Expiration Date

09/30/2006

City

WARREN

State

Zip

07059

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

11/08/2006