DAVID L BRENNER Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002291

License Status

INACTIVE

Business

First Name

DAVID L

Last Name

BRENNER

Business Name

DAVID L BRENNER

Original Issue Date

03/07/1978

Expiration Date

09/30/1984

City

HAMILTON

State

Zip

13346

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/03/2005