DANIEL J KOZUBAL Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003041

License Status

ACTIVE

Business

First Name

DANIEL J

Last Name

KOZUBAL

Business Name

DANIEL J KOZUBAL

Original Issue Date

05/24/1983

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2024