PAULA D LODGE Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008800

License Status

ACTIVE

Business

First Name

PAULA

Middle

Last Name

LODGE

Business Name

PAULA D LODGE

Original Issue Date

03/20/2014

Effective Date

08/06/2024

Expiration Date

09/30/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

08/06/2024