PHILIP JOHN LANZISERA Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007648

License Status

ACTIVE

Business

First Name

PHILIP

Middle

JOHN

Last Name

LANZISERA

Business Name

PHILIP JOHN LANZISERA

Original Issue Date

03/18/2009

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

TROY

State

Zip

48084

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/03/2024