THANE A DYKSTRA PHD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005980

License Status

ACTIVE

Business

Title

PHD

First Name

THANE

Middle

Last Name

DYKSTRA

Business Name

THANE A DYKSTRA PHD

Original Issue Date

11/23/1999

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

MANHATTAN

State

Zip

60442

County

WILL

Ever Disciplined

LastModifiedDate

09/03/2024