THERESA A KELLY PSYD Clinical Psychologist License verification

THERESA A KELLY PSYD

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006782

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

KELLY

Suffix

PSYD

Business Name

THERESA A KELLY PSYD

Original Issue Date

10/12/2004

Effective Date

09/26/2022

Expiration Date

09/30/2024

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

04/14/2025

Case Number

2023004249

Action

Suspension

Discipline Start Date

04/11/2025

Discipline Reason

clinical psychologist license automatically, indefinitely suspended due to judgment order convicting her of health care fraud in violation of 20 ILCS 2105/2105-170.