LAURA ASHLEY POLHAMUS Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009415

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

ASHLEY

Last Name

POLHAMUS

Business Name

LAURA ASHLEY POLHAMUS

Original Issue Date

11/23/2016

Effective Date

05/16/2019

Expiration Date

09/30/2020

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

01/14/2021