MICHAEL J STEVENS Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002968

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

STEVENS

Business Name

MICHAEL J STEVENS

Original Issue Date

12/01/1982

Effective Date

07/04/2024

Expiration Date

09/30/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/04/2024