MIRIAM A MENDOZA PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071011004

License Status

ACTIVE

Business

Title

PSYD

First Name

MIRIAM

Middle

Last Name

MENDOZA

Business Name

MIRIAM A MENDOZA PSYD

Original Issue Date

08/08/2023

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

OSWEGO

State

Zip

60543

Ever Disciplined

LastModifiedDate

09/17/2024