LAURIE A DECKARD Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006688

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

Last Name

DECKARD

Business Name

LAURIE A DECKARD

Original Issue Date

03/05/2004

Effective Date

10/27/2022

Expiration Date

09/30/2024

City

ORMOND BEACH

State

Zip

32174

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

02/27/2025