MARTITA A LOPEZ Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002709

License Status

INACTIVE

Business

First Name

MARTITA A

Last Name

LOPEZ

Business Name

MARTITA A LOPEZ

Original Issue Date

11/12/1980

Effective Date

08/30/2004

Expiration Date

09/30/2004

City

AUSTIN

State

Zip

78750

County

TEXAS

Ever Disciplined

LastModifiedDate

09/11/2005