DEREK CHRISTOPHER PHILLIPS PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

PRESCRIBING PSYCHOLOGIST

License Number

074000012

License Status

ACTIVE

Business

Title

PSYD

First Name

DEREK

Middle

CHRISTOPHER

Last Name

PHILLIPS

Business Name

DEREK CHRISTOPHER PHILLIPS PSYD

Original Issue Date

11/24/2021

Effective Date

07/12/2024

Expiration Date

09/30/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

07/12/2024