AMANDA DENISE BALL Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008473

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

DENISE

Last Name

BALL

Business Name

AMANDA DENISE BALL

Original Issue Date

11/28/2012

Effective Date

11/26/2018

Expiration Date

09/30/2020

City

LAKE GROVE

State

Zip

97035

Ever Disciplined

LastModifiedDate

01/14/2021