NATHAN MATTHEW ELZINGA Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009592

License Status

ACTIVE

Business

First Name

NATHAN

Middle

MATTHEW

Last Name

ELZINGA

Business Name

NATHAN MATTHEW ELZINGA

Original Issue Date

08/03/2017

Effective Date

08/01/2024

Expiration Date

09/30/2026

City

SAINT CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

08/01/2024