RAYMOND FIELDS Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000774

License Status

INACTIVE

Business

First Name

RAYMOND

Last Name

FIELDS

Business Name

RAYMOND FIELDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

SMITHTOWN

State

Zip

11787

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/31/2007