LUCILLE FAITH SIDER Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004491

License Status

INACTIVE

Business

First Name

LUCILLE

Middle

FAITH

Last Name

SIDER

Business Name

LUCILLE FAITH SIDER

Original Issue Date

05/19/1992

Effective Date

10/14/2008

Expiration Date

09/30/2010

City

VESTAL

State

Zip

13850

Ever Disciplined

LastModifiedDate

07/08/2010