MICHAEL KENNETH SHACKEL DORREN Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006085

License Status

ACTIVE

Business

First Name

MICHAEL KENNETH

Middle

SHACKEL

Last Name

DORREN

Business Name

MICHAEL KENNETH SHACKEL DORREN

Original Issue Date

07/05/2000

Effective Date

09/20/2024

Expiration Date

09/30/2026

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2024