License holder summary

MARITA-CONSTANCE SUPAN is a Psychologist - Psychologist Doctoral Educ Ltd licensed to practice in Michigan. The address on file for MARITA-CONSTANCE SUPAN is Detroit, MI 48210. This licensed professional license is not current. The license was granted 11/20/2000 and expired on 08/31/2008.

Michigan

Department of Licensing and Regulation

MARITA-CONSTANCE SUPAN
Psychologist - Psychologist Doctoral Educ Ltd
License number
6301008934
Date granted
11/20/2000
Date expires
08/31/2008
Class
Psychologist - Psychologist Doctoral Educ Ltd
Status
Lapsed
Address
Detroit, MI 48210
michiganlicensing.org
ID 26016127
LAST UPDATED 2024-03-28 04:11:10 UTC

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