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Credential/License Summary for 2581

Name: GOODMAN, DAVID J
Profession: PSYCHOLOGIST (57)
Credential/License Number: 2581-57
Location: BAYSIDE WI
Credential/License Type: regular
Status: License is current (Active)
Eligible To Practice: credential license is current

Details
Requirements
Payments
Orders
Relationships

Credential/License current through: 9/30/2019
Granted date: 2/9/2006
Multi-state: N
Orders: NONE
Specialties: NONE
Other Names: David J Goodman

Requirement Code Complied? Complied Date
Renewal Requirements for the year: 2017
FEE requirement complied 09/30/2017
SIG requirement complied 09/30/2017
Renewal Year Amount Paid Payment Received
2017 170 09/30/2017

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Requirement Code Description

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