LATISHA M FOWLER Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010557

License Status

NOT RENEWED

Business

First Name

LATISHA

Middle

Last Name

FOWLER

Business Name

LATISHA M FOWLER

Original Issue Date

07/06/2021

Effective Date

07/06/2021

Expiration Date

09/30/2022

City

ZANESVILLE

State

Zip

43701

County

OHIO

Ever Disciplined

LastModifiedDate

11/28/2022