KRYSTAL MONIQUE LEWIS Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008975

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

MONIQUE

Last Name

LEWIS

Business Name

KRYSTAL MONIQUE LEWIS

Original Issue Date

12/08/2014

Effective Date

09/28/2016

Expiration Date

09/30/2018

City

NORTH BETHESDA

State

Zip

20852

Ever Disciplined

LastModifiedDate

12/05/2018