KELLY ANN GUSTAFSON Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007917

License Status

ACTIVE

Business

First Name

KELLY

Middle

ANN

Last Name

GUSTAFSON

Business Name

KELLY ANN GUSTAFSON

Original Issue Date

05/28/2010

Effective Date

09/24/2024

Expiration Date

09/30/2026

City

JOHNSTON

State

Zip

50131

Ever Disciplined

LastModifiedDate

09/24/2024