SHAUN A BONG Clinical Psychologist License verification

SHAUN A BONG

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007061

License Status

NOT RENEWED

Business

First Name

SHAUN

Middle

Last Name

BONG

Business Name

SHAUN A BONG

Original Issue Date

05/26/2006

Effective Date

08/17/2012

Expiration Date

09/30/2014

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2011008914

Action

Refuse To Renew

Discipline Start Date

03/17/2014

Discipline Reason

after failed to turn over patient records; demonstrated an addiction to alcohol and heroin; abandoned her office without securing patient records; billed for services not rendered.