LORI M BUCKENBERGER Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004389

License Status

ACTIVE

Business

First Name

LORI M

Last Name

BUCKENBERGER

Business Name

LORI M BUCKENBERGER

Original Issue Date

12/23/1991

Effective Date

07/18/2024

Expiration Date

09/30/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

07/18/2024