GEORGEANN L IACONO RUSSELL Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004593

License Status

ACTIVE

Business

First Name

GEORGEANN L

Middle

IACONO

Last Name

RUSSELL

Business Name

GEORGEANN L IACONO RUSSELL

Original Issue Date

12/10/1992

Effective Date

09/06/2024

Expiration Date

09/30/2026

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/06/2024