CHARITY R LANE Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010522

License Status

ACTIVE

Business

First Name

CHARITY

Middle

Last Name

LANE

Business Name

CHARITY R LANE

Original Issue Date

04/29/2021

Effective Date

09/29/2024

Expiration Date

09/30/2026

City

WHEATON

State

Zip

60187

Ever Disciplined

LastModifiedDate

09/29/2024