MARK DAVID ETTENSOHN PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071011396

License Status

ACTIVE

Business

Title

PSYD

First Name

MARK

Middle

DAVID

Last Name

ETTENSOHN

Business Name

MARK DAVID ETTENSOHN PSYD

Original Issue Date

01/13/2025

Effective Date

01/13/2025

Expiration Date

09/30/2026

City

CAMERON PARK

State

Zip

95682

Ever Disciplined

LastModifiedDate

05/10/2025