LAURA M BOERNER SMITH Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007038

License Status

INACTIVE

Business

First Name

LAURA M

Middle

BOERNER

Last Name

SMITH

Business Name

LAURA M BOERNER SMITH

Original Issue Date

04/27/2006

Effective Date

07/09/2012

Expiration Date

09/30/2014

City

CIRCLEVILLE

State

Zip

43113

County

OHIO

Ever Disciplined

LastModifiedDate

07/03/2014