MARISELA LOPEZ PHD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010457

License Status

ACTIVE

Business

Title

PHD

First Name

MARISELA

Last Name

LOPEZ

Business Name

MARISELA LOPEZ PHD

Original Issue Date

01/09/2021

Effective Date

09/28/2024

Expiration Date

09/30/2026

City

WEST ALLIS

State

Zip

53227

Ever Disciplined

LastModifiedDate

09/28/2024