DEBRA ANNE KISSEN PH D Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008342

License Status

ACTIVE

Business

Title

PH D

First Name

DEBRA

Middle

ANNE

Last Name

KISSEN

Business Name

DEBRA ANNE KISSEN PH D

Original Issue Date

04/17/2012

Effective Date

07/04/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/04/2024