JEREMY TODD BIDWELL PHD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

PRESCRIBING PSYCHOLOGIST CONTROL SUB

License Number

374000011

License Status

ACTIVE

Business

Title

PHD

First Name

JEREMY

Middle

TODD

Last Name

BIDWELL

Business Name

JEREMY TODD BIDWELL PHD

Original Issue Date

11/24/2021

Effective Date

07/09/2024

Expiration Date

09/30/2026

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/09/2024