MARY SUSAN SAMS Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005822

License Status

NOT RENEWED

Business

First Name

MARY

Middle

SUSAN

Last Name

SAMS

Business Name

MARY SUSAN SAMS

Original Issue Date

01/12/1999

Effective Date

09/27/2012

Expiration Date

09/30/2014

City

SANTA ROSA

State

Zip

95401

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014