SUSAN RENEE STOCK Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006896

License Status

ACTIVE

Business

First Name

SUSAN

Middle

RENEE

Last Name

STOCK

Business Name

SUSAN RENEE STOCK

Original Issue Date

08/04/2005

Effective Date

07/13/2024

Expiration Date

09/30/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/13/2024