ERIC BRUCE LEE Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010401

License Status

ACTIVE

Business

First Name

ERIC

Middle

BRUCE

Last Name

LEE

Business Name

ERIC BRUCE LEE

Original Issue Date

10/26/2020

Effective Date

08/05/2024

Expiration Date

09/30/2026

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

08/05/2024