License holder summary

KIMBERLY GERISSE VAN DALE is a Psychology - Master's Ltd. Psychologist Educ Ltd licensed to practice in Michigan. This medical licensee license is not current. The license was granted 01/04/1999 and expired on 01/04/2001.

Department of Licensing and Regulatory Affairs

Board of Medicine

KIMBERLY GERISSE VAN DALE
Psychology - Master's Ltd. Psychologist Educ Ltd
License number
6301010921
Date granted
01/04/1999
Date expires
01/04/2001
Class
Psychology - Master's Ltd. Psychologist Educ Ltd
Status
Lapsed
Address
michiganmedical.net
ID 39334748
LAST UPDATED 2024-03-12 05:08:58 UTC

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