SUSAN L BRANDT Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010279

License Status

INACTIVE

Business

First Name

SUSAN

Middle

Last Name

BRANDT

Business Name

SUSAN L BRANDT

Original Issue Date

04/15/2020

Effective Date

09/09/2020

Expiration Date

09/30/2022

City

FISHERS

State

Zip

46038

Ever Disciplined

LastModifiedDate

07/02/2022