DOUGLAS L BENNETT Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006840

License Status

INACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

BENNETT

Business Name

DOUGLAS L BENNETT

Original Issue Date

03/09/2005

Effective Date

09/18/2012

Expiration Date

09/30/2014

City

WESTERVILLE

State

Zip

43081

County

OHIO

Ever Disciplined

LastModifiedDate

07/03/2014