LORI R VALLELUNGA Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005147

License Status

ACTIVE

Business

First Name

LORI

Middle

Last Name

VALLELUNGA

Business Name

LORI R VALLELUNGA

Original Issue Date

12/06/1995

Effective Date

07/28/2024

Expiration Date

09/30/2026

City

YACHATS

State

Zip

97498

Ever Disciplined

LastModifiedDate

07/28/2024