STEPHANIE SUSANNE LUALLIN Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010744

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

SUSANNE

Last Name

LUALLIN

Business Name

STEPHANIE SUSANNE LUALLIN

Original Issue Date

03/25/2022

Effective Date

07/08/2024

Expiration Date

09/30/2026

City

INDIANAPOLIS

State

Zip

46205

County

MARION

Ever Disciplined

LastModifiedDate

01/20/2025