| Licensee/Applicant Lookup |
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Licensee/Applicant Detail - Verification of Licensure/Application Status
Information current as of: 09/08/2010
Query Time: 09/08/2010 09:46:43 pm
This site is a primary source for verification of license/applicant credentials and is updated daily.
| License/Application Number |
1472 |
| First Name
| SUZAN A. |
| Last Name |
ANSON |
| Title |
PH.D. |
| Address |
13607 FIELDING ROAD |
| City |
LAKE OSWEGO |
| State |
OR |
| Country |
U.S.A |
| Phone Number |
503-534-2747 |
| Status |
Active |
| Date Licensed |
10/12/2001 |
| Expiration Date |
12/31/2010 |
| Proposed or Final Discipline |
No |
| Under Supervision |
No |
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Licensed Psychologist = PH.D, PSY.D, ED.D
Licensed Psychologist Associate = MA, MS
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