JODI MARIE FOURT Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010162

License Status

ACTIVE

Business

First Name

JODI

Middle

MARIE

Last Name

FOURT

Business Name

JODI MARIE FOURT

Original Issue Date

11/01/2019

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

LAKE IN THE HILLS

State

Zip

60156

Ever Disciplined

LastModifiedDate

09/30/2024