LAUREN KAVANAUGH-WALLACE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005134

License Status

NOT RENEWED

Business

First Name

LAUREN

Last Name

KAVANAUGH-WALLACE

Business Name

LAUREN KAVANAUGH-WALLACE

Original Issue Date

12/06/1995

Effective Date

09/01/2020

Expiration Date

09/30/2022

City

MOORESVILLE

State

Zip

28117

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

12/15/2022

Case Number

2019003825

Action

Revocation

Discipline Start Date

12/09/2022

Discipline Reason

clinical psychologist license revoked due to a sister-state violation of unprofessional conduct and failure to report.