NICCOLE K BRUSA PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009162

License Status

ACTIVE

Business

Title

PSYD

First Name

NICCOLE

Middle

Last Name

BRUSA

Business Name

NICCOLE K BRUSA PSYD

Original Issue Date

11/06/2015

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60607

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/30/2024