RUSSELL G TAYLOR Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005225

License Status

ACTIVE

Business

First Name

RUSSELL

Middle

Last Name

TAYLOR

Business Name

RUSSELL G TAYLOR

Original Issue Date

06/15/1996

Effective Date

08/28/2024

Expiration Date

09/30/2026

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

08/28/2024