TARA COLLINS SAMPLES PHD Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008827

License Status

NOT RENEWED

Business

Title

PHD

First Name

TARA

Middle

COLLINS

Last Name

SAMPLES

Business Name

TARA COLLINS SAMPLES PHD

Original Issue Date

05/22/2014

Effective Date

08/15/2016

Expiration Date

09/30/2018

City

BARTLETT

State

Zip

38134

Ever Disciplined

LastModifiedDate

12/05/2018