SAM CORBIN PAYNE PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010920

License Status

ACTIVE

Business

Title

PSYD

First Name

SAM

Middle

CORBIN

Last Name

PAYNE

Business Name

SAM CORBIN PAYNE PSYD

Original Issue Date

01/05/2023

Effective Date

07/04/2024

Expiration Date

09/30/2026

City

FOREST PARK

State

Zip

60130

Ever Disciplined

LastModifiedDate

07/04/2024