DOUGLAS MICHAEL WHITESIDE PHD Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008267

License Status

INACTIVE

Business

Title

PHD

First Name

DOUGLAS

Middle

MICHAEL

Last Name

WHITESIDE

Business Name

DOUGLAS MICHAEL WHITESIDE PHD

Original Issue Date

11/29/2011

Effective Date

07/16/2018

Expiration Date

09/30/2020

City

MINNEAPOLIS

State

Zip

55415

Ever Disciplined

LastModifiedDate

07/27/2020