PAMELA DOCKSTADER ORTIZ Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008240

License Status

ACTIVE

Business

First Name

PAMELA

Last Name

DOCKSTADER ORTIZ

Business Name

PAMELA DOCKSTADER ORTIZ

Original Issue Date

11/29/2011

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

DELAFIELD

State

Zip

53018

Ever Disciplined

LastModifiedDate

09/17/2024