SUSAN LEA PAGE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007102

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

LEA

Last Name

PAGE

Business Name

SUSAN LEA PAGE

Original Issue Date

08/23/2006

Effective Date

09/21/2012

Expiration Date

09/30/2014

City

MILLEDGEVILLE

State

Zip

31061

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/17/2014