RONALD GAYLE BALLENGER PHD Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003197

License Status

INACTIVE

Business

First Name

RONALD

Middle

GAYLE

Last Name

BALLENGER

Suffix

PHD

Business Name

RONALD GAYLE BALLENGER PHD

Original Issue Date

10/16/1984

Expiration Date

09/30/1986

City

APO NEW YORK

State

Zip

09114

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/04/2005