LOUIS JOSEPH FORMICA Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010375

License Status

ACTIVE

Business

First Name

LOUIS

Middle

JOSEPH

Last Name

FORMICA

Business Name

LOUIS JOSEPH FORMICA

Original Issue Date

10/14/2020

Effective Date

07/08/2024

Expiration Date

09/30/2026

City

KAILUA KONA

State

Zip

96740

Ever Disciplined

LastModifiedDate

07/08/2024