BRIAN JOSEPH PAGE Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

PRESCRIBING PSYCHOLOGIST CONTROL SUB

License Number

374000020

License Status

ACTIVE

Business

First Name

BRIAN

Middle

JOSEPH

Last Name

PAGE

Business Name

BRIAN JOSEPH PAGE

Original Issue Date

01/22/2024

Effective Date

09/13/2024

Expiration Date

09/30/2026

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

09/13/2024