ERIN KRISTINA BASALAY Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008280

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

KRISTINA

Last Name

BASALAY

Business Name

ERIN KRISTINA BASALAY

Original Issue Date

01/03/2012

Effective Date

09/26/2016

Expiration Date

09/30/2018

City

ROUND ROCK

State

Zip

78665

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

12/05/2018