LISA M PADALA Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008395

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

PADALA

Business Name

LISA M PADALA

Original Issue Date

07/31/2012

Effective Date

07/17/2018

Expiration Date

09/30/2020

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/27/2020