WILLIAM M BRUINSMA Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004190

License Status

NOT RENEWED

Business

First Name

WILLIAM M

Last Name

BRUINSMA

Business Name

WILLIAM M BRUINSMA

Original Issue Date

12/05/1990

Effective Date

09/18/2018

Expiration Date

09/30/2020

City

SOUTH BEND

State

Zip

46614

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021