DAVID J DERITA Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002434

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

DERITA

Business Name

DAVID J DERITA

Original Issue Date

09/25/1978

City

GALLIPOLIS

State

Zip

45631

County

OHIO

Ever Disciplined

LastModifiedDate

09/04/2005