CAROLL A BERNDT Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004131

License Status

ACTIVE

Business

First Name

CAROLL

Middle

Last Name

BERNDT

Business Name

CAROLL A BERNDT

Original Issue Date

06/20/1990

Effective Date

07/10/2024

Expiration Date

09/30/2026

City

BOISE

State

Zip

83709

Ever Disciplined

LastModifiedDate

07/10/2024