THEODORE FREDERICK BERG Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009362

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

FREDERICK

Last Name

BERG

Business Name

THEODORE FREDERICK BERG

Original Issue Date

09/30/2016

Effective Date

07/01/2022

Expiration Date

09/30/2024

City

BELLINGHAM

State

Zip

98229

Ever Disciplined

LastModifiedDate

02/27/2025