RICHARD J LONG Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003876

License Status

ACTIVE

Business

First Name

RICHARD

Middle

Last Name

LONG

Business Name

RICHARD J LONG

Original Issue Date

12/13/1988

Effective Date

09/29/2024

Expiration Date

09/30/2026

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

09/29/2024