CLARISSA MARIE EDGE RICHARDSON Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010899

License Status

ACTIVE

Business

First Name

CLARISSA

Middle

MARIE EDGE

Last Name

RICHARDSON

Business Name

CLARISSA MARIE EDGE RICHARDSON

Original Issue Date

12/13/2022

Effective Date

07/21/2024

Expiration Date

09/30/2026

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/21/2024