RANDALL W SUMMERVILLE Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006658

License Status

ACTIVE

Business

First Name

RANDALL

Middle

Last Name

SUMMERVILLE

Business Name

RANDALL W SUMMERVILLE

Original Issue Date

12/16/2003

Effective Date

07/08/2024

Expiration Date

09/30/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/08/2024