STEPHANIE JEAN ERICKSEN Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008377

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

JEAN

Last Name

ERICKSEN

Business Name

STEPHANIE JEAN ERICKSEN

Original Issue Date

07/03/2012

Effective Date

09/11/2024

Expiration Date

09/30/2026

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2024