SHANA DEAN MITZEL NICHOLAS Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006921

License Status

ACTIVE

Business

First Name

SHANA

Middle

DEAN

Last Name

MITZEL NICHOLAS

Business Name

SHANA DEAN MITZEL NICHOLAS

Original Issue Date

09/27/2005

Effective Date

08/09/2024

Expiration Date

09/30/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/09/2024