ANDREA RENE MAMMEN Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008345

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

RENE

Last Name

MAMMEN

Business Name

ANDREA RENE MAMMEN

Original Issue Date

05/08/2012

Effective Date

09/24/2018

Expiration Date

09/30/2020

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/14/2021