DAWN MARIE BROCK PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008127

License Status

ACTIVE

Business

Title

PSYD

First Name

DAWN

Middle

MARIE

Last Name

BROCK

Business Name

DAWN MARIE BROCK PSYD

Original Issue Date

04/07/2011

Effective Date

09/23/2024

Expiration Date

09/30/2026

City

DEWEY

State

Zip

86327

Ever Disciplined

LastModifiedDate

09/23/2024