JOHANNA JACOBA MYTKO Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006156

License Status

NOT RENEWED

Business

First Name

JOHANNA

Middle

JACOBA

Last Name

MYTKO

Business Name

JOHANNA JACOBA MYTKO

Original Issue Date

10/31/2000

Effective Date

07/13/2006

Expiration Date

09/30/2008

City

PALOS VERDES EST

State

Zip

90274

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/06/2008