LEIGH-ANN PENELOPE THEOPHILOS Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010764

License Status

NOT RENEWED

Business

First Name

LEIGH-ANN

Middle

PENELOPE

Last Name

THEOPHILOS

Business Name

LEIGH-ANN PENELOPE THEOPHILOS

Original Issue Date

05/03/2022

Effective Date

08/02/2022

Expiration Date

09/30/2024

City

APPLE VALLEY

State

Zip

55124

Ever Disciplined

LastModifiedDate

02/27/2025