PAVITHRA MANDAPPA Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007566

License Status

INACTIVE

Business

First Name

PAVITHRA

Last Name

MANDAPPA

Business Name

PAVITHRA MANDAPPA

Original Issue Date

10/22/2008

Effective Date

09/23/2014

Expiration Date

09/30/2016

City

PELHAM

State

Zip

10803

Ever Disciplined

LastModifiedDate

07/06/2016