DOUGLAS SHELLEY HIESTER Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006125

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

SHELLEY

Last Name

HIESTER

Business Name

DOUGLAS SHELLEY HIESTER

Original Issue Date

10/18/2000

Effective Date

09/08/2020

Expiration Date

09/30/2022

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

11/28/2022