ETHAN DWIGHT LANTZ Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010740

License Status

ACTIVE

Business

First Name

ETHAN

Middle

DWIGHT

Last Name

LANTZ

Business Name

ETHAN DWIGHT LANTZ

Original Issue Date

03/18/2022

Effective Date

08/23/2024

Expiration Date

09/30/2026

City

SEDALIA

State

Zip

65301

Ever Disciplined

LastModifiedDate

08/23/2024