GEORGIA DARE BOMGARDNER PHD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071011319

License Status

ACTIVE

Business

Title

PHD

First Name

GEORGIA

Middle

DARE

Last Name

BOMGARDNER

Business Name

GEORGIA DARE BOMGARDNER PHD

Original Issue Date

10/17/2024

Effective Date

10/17/2024

Expiration Date

09/30/2026

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/11/2024