North Carolina
Secretary of State
Judith Deborah Modell
Psychology - Psychologist Provisional
License number
102547
Date granted
02/06/2004
Date expires
10/01/2016
Class
Psychology - Psychologist Provisional
Status
Current
Address
Durham, NC
licensingnc.com
ID 19189041
LAST UPDATED 2026-05-20 03:14:41 UTC
LAST UPDATED 2026-05-20 03:14:41 UTC
This website is unaffiliated with the Secretary of State. Please verify all information directly with the relevant official government authority.