TIFFANY NYCOLE LARA PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008128

License Status

ACTIVE

Business

Title

PSYD

First Name

TIFFANY

Middle

NYCOLE

Last Name

LARA

Business Name

TIFFANY NYCOLE LARA PSYD

Original Issue Date

04/07/2011

Effective Date

09/25/2024

Expiration Date

09/30/2026

City

AURORA

State

Zip

60504

County

KANE

Ever Disciplined

LastModifiedDate

09/25/2024