KENNETH VICENCIO Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009682

License Status

ACTIVE

Business

First Name

KENNETH

Last Name

VICENCIO

Business Name

KENNETH VICENCIO

Original Issue Date

12/12/2017

Effective Date

09/29/2024

Expiration Date

09/30/2026

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

09/29/2024