JACLYN MARIE RUSSO PHD - Clinical Psychologist License in North Carolina | # 071010588

JACLYN MARIE RUSSO PHD

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010588

License Status

ACTIVE

Business

N

Title

PHD

First Name

JACLYN

Middle

MARIE

Last Name

RUSSO

Business Name

JACLYN MARIE RUSSO PHD

Original Issue Date

08/28/2021

Effective Date

07/11/2024

Expiration Date

09/30/2026

State

NC

Ever Disciplined

N

LastModifiedDate

07/11/2024