MARTHA S LEWIS Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006397

License Status

INACTIVE

Business

First Name

MARTHA

Middle

Last Name

LEWIS

Business Name

MARTHA S LEWIS

Original Issue Date

06/13/2002

Effective Date

08/12/2008

Expiration Date

09/30/2010

City

PITTSBORO

State

Zip

27312

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

07/08/2010