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Licensee/Applicant Detail - Verification of Licensure/Application Status

Information current as of: 10/14/2019
Query Time: 10/14/2019 03:59:42 pm

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License/Application Number 1038
First Name Gary P.
Last Name Monkarsh
Title Ph.D.
Address 14523 Westlake Dr., #18
City Lake Oswego
State OR
Country U.S.A
Phone Number 503-639-9556
Status Active Psychologist
Date Licensed 1/1/1993
Expiration Date 3/31/2021
Proposed or Final Board Action No
Under Supervision No

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