MARK BURTON Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004046

License Status

INACTIVE

Business

First Name

MARK

Last Name

BURTON

Business Name

MARK BURTON

Original Issue Date

11/28/1989

Effective Date

08/16/2002

Expiration Date

09/30/2002

City

TIGARD

State

Zip

97224

County

OREGON

Ever Disciplined

LastModifiedDate

09/11/2005