MARY SANDRA STORY Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005833

License Status

NOT RENEWED

Business

First Name

MARY

Middle

SANDRA

Last Name

STORY

Business Name

MARY SANDRA STORY

Original Issue Date

01/14/1999

Effective Date

08/11/2020

Expiration Date

09/30/2022

City

CLAYTON

State

Zip

27527

Ever Disciplined

LastModifiedDate

11/28/2022