DIANE ELAINE GROAT Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010917

License Status

ACTIVE

Business

First Name

DIANE

Middle

ELAINE

Last Name

GROAT

Business Name

DIANE ELAINE GROAT

Original Issue Date

01/05/2023

Effective Date

09/15/2024

Expiration Date

09/30/2026

City

MINOT

State

Zip

58703

Ever Disciplined

LastModifiedDate

09/15/2024