SUPATCHARA LAKSANAPROM PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010079

License Status

ACTIVE

Business

Title

PSYD

First Name

SUPATCHARA

Last Name

LAKSANAPROM

Business Name

SUPATCHARA LAKSANAPROM PSYD

Original Issue Date

08/07/2019

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60631

Ever Disciplined

LastModifiedDate

09/03/2024