PHILLIP DANIEL RUPPERT Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009269

License Status

ACTIVE

Business

First Name

PHILLIP

Middle

DANIEL

Last Name

RUPPERT

Business Name

PHILLIP DANIEL RUPPERT

Original Issue Date

03/30/2016

Effective Date

08/30/2024

Expiration Date

09/30/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

08/30/2024