SUSAN D HAGEN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005313

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

HAGEN

Business Name

SUSAN D HAGEN

Original Issue Date

12/24/1996

Effective Date

07/16/2018

Expiration Date

09/30/2020

City

BOCA RATON

State

Zip

33433

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/27/2020