RUSSELL M SWAYNE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005987

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

Last Name

SWAYNE

Business Name

RUSSELL M SWAYNE

Original Issue Date

11/23/1999

Effective Date

07/16/2018

Expiration Date

09/30/2020

City

JOLIET

State

Zip

60433

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021