LORI E DAVIS Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005150

License Status

NOT RENEWED

Business

First Name

LORI E

Last Name

DAVIS

Business Name

LORI E DAVIS

Original Issue Date

12/06/1995

Effective Date

12/03/2012

Expiration Date

09/30/2014

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2012001205

Action

Voluntary Surrender

Discipline Start Date

04/15/2014

Discipline Reason

due to Respondent having a sexual relationship with a client within 24 months after termination of treatment on or about December of 2011.