NICOLE MARIA DOUGLAS Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071022453

License Status

ACTIVE

Business

First Name

NICOLE

Middle

MARIA

Last Name

DOUGLAS

Business Name

NICOLE MARIA DOUGLAS

Original Issue Date

10/06/2025

Effective Date

10/06/2025

Expiration Date

09/30/2026

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

11/04/2025