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Mountain Lake
Licensee/Applicant Lookup
Licensee/Applicant Detail - Verification of Licensure/Application Status

Information current as of: 05/20/2013
Query Time: 05/21/2013 04:16:21 am

This site is a primary source for verification of license/applicant credentials and is updated daily.


License/Application Number 47
First Name DAVID
Last Name BRODY
Title PH.D.
Address 1493 FIR STREET S.
City SALEM
State OR
Country U.S.A
Phone Number
Status Retired Psychologist
Date Licensed 6/1/1964
Expiration Date 12/31/1991
Proposed or Final Board Action No
Under Supervision No

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