BRIAN T MADVIG Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005079

License Status

ACTIVE

Business

First Name

BRIAN T

Last Name

MADVIG

Business Name

BRIAN T MADVIG

Original Issue Date

09/01/1995

Effective Date

09/26/2024

Expiration Date

09/30/2026

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2024