TERESA LYNN DAVENPORT Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009150

License Status

ACTIVE

Business

First Name

TERESA

Middle

LYNN

Last Name

DAVENPORT

Business Name

TERESA LYNN DAVENPORT

Original Issue Date

09/25/2015

Effective Date

08/17/2024

Expiration Date

09/30/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/17/2024