SANDRA NICOLE CLARK Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009935

License Status

ACTIVE

Business

First Name

SANDRA

Middle

NICOLE

Last Name

CLARK

Business Name

SANDRA NICOLE CLARK

Original Issue Date

12/20/2018

Effective Date

08/30/2024

Expiration Date

09/30/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

08/30/2024