SAMANTHA MARIE BLEVINS Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009971

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

MARIE

Last Name

BLEVINS

Business Name

SAMANTHA MARIE BLEVINS

Original Issue Date

02/22/2019

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

RAPID CITY

State

Zip

57709

Ever Disciplined

LastModifiedDate

07/03/2024