DAZIALEE GOODWIN PHD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071011204

License Status

ACTIVE

Business

Title

PHD

First Name

DAZIALEE

Last Name

GOODWIN

Business Name

DAZIALEE GOODWIN PHD

Original Issue Date

04/19/2024

Effective Date

07/16/2024

Expiration Date

09/30/2026

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/16/2024