BRANDI KRISTEN BOAN PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

PRESCRIBING PSYCHOLOGIST CONTROL SUB

License Number

374000002

License Status

ACTIVE

Business

Title

PSYD

First Name

BRANDI

Middle

KRISTEN

Last Name

BOAN

Business Name

BRANDI KRISTEN BOAN PSYD

Original Issue Date

08/18/2020

Effective Date

09/13/2024

Expiration Date

09/30/2026

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

09/13/2024