MIKELL RYANNE EHNLE Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008074

License Status

ACTIVE

Business

First Name

MIKELL

Middle

RYANNE

Last Name

EHNLE

Business Name

MIKELL RYANNE EHNLE

Original Issue Date

01/21/2011

Effective Date

08/19/2024

Expiration Date

09/30/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

08/19/2024