MARY T RUSSELL Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007739

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

RUSSELL

Business Name

MARY T RUSSELL

Original Issue Date

08/20/2009

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/30/2024