JILLON S VANDER WAL Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006265

License Status

ACTIVE

Business

First Name

JILLON

Middle

Last Name

VANDER WAL

Business Name

JILLON S VANDER WAL

Original Issue Date

07/17/2001

Effective Date

09/05/2024

Expiration Date

09/30/2026

City

OLATHE

State

Zip

66061

County

JOHNSON

Ever Disciplined

LastModifiedDate

09/05/2024