COLLEEN MARIE COSTIN PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010581

License Status

ACTIVE

Business

Title

PSYD

First Name

COLLEEN

Middle

MARIE

Last Name

COSTIN

Business Name

COLLEEN MARIE COSTIN PSYD

Original Issue Date

08/19/2021

Effective Date

09/08/2024

Expiration Date

09/30/2026

City

PINGREE GROVE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

09/08/2024