TIMOTHY ALAN BLANEY Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005814

License Status

INACTIVE

Business

First Name

TIMOTHY

Middle

ALAN

Last Name

BLANEY

Business Name

TIMOTHY ALAN BLANEY

Original Issue Date

01/12/1999

Effective Date

07/31/2002

Expiration Date

09/30/2002

City

BUFFALO

State

Zip

82834

County

WYOMING

Ever Disciplined

LastModifiedDate

09/11/2005