PHYLLIS D BRISTER Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002708

License Status

NOT RENEWED

Business

First Name

PHYLLIS D

Last Name

BRISTER

Business Name

PHYLLIS D BRISTER

Original Issue Date

11/12/1980

Effective Date

08/29/2018

Expiration Date

09/30/2020

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

01/14/2021