JAMES HENRY BLACK Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071021001

License Status

ACTIVE

Business

First Name

JAMES

Middle

HENRY

Last Name

BLACK

Business Name

JAMES HENRY BLACK

Original Issue Date

11/20/2024

Effective Date

11/20/2024

Expiration Date

09/30/2026

City

MIDDLETON

State

Zip

53562

Ever Disciplined

LastModifiedDate

01/29/2025