AMANDA NICOLE BURNSIDE Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010609

License Status

ACTIVE

Business

First Name

AMANDA

Middle

NICOLE

Last Name

BURNSIDE

Business Name

AMANDA NICOLE BURNSIDE

Original Issue Date

09/14/2021

Effective Date

07/05/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/05/2024