TIMOTHY D SHANNON Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004783

License Status

ACTIVE

Business

First Name

TIMOTHY D

Last Name

SHANNON

Business Name

TIMOTHY D SHANNON

Original Issue Date

11/30/1993

Effective Date

07/13/2024

Expiration Date

09/30/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/13/2024