BRIAN F HEATHERTON Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006614

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

HEATHERTON

Business Name

BRIAN F HEATHERTON

Original Issue Date

09/15/2003

Effective Date

07/12/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/13/2024