LORI LEE BOURGARD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005769

License Status

ACTIVE

Business

First Name

LORI LEE

Last Name

BOURGARD

Business Name

LORI LEE BOURGARD

Original Issue Date

12/04/1998

Effective Date

07/29/2024

Expiration Date

09/30/2026

City

ST PETERSBURG

State

Zip

33705

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/29/2024