DIANA SUSAN GOLDSTEIN Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006006

License Status

ACTIVE

Business

First Name

DIANA

Middle

SUSAN

Last Name

GOLDSTEIN

Business Name

DIANA SUSAN GOLDSTEIN

Original Issue Date

01/18/2000

Effective Date

08/26/2024

Expiration Date

09/30/2026

City

GARY

State

Zip

46403

County

COOK

Ever Disciplined

LastModifiedDate

08/26/2024