SHANYTA NICOLE RUSSELL PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010219

License Status

ACTIVE

Business

Title

PSYD

First Name

SHANYTA

Middle

NICOLE

Last Name

RUSSELL

Business Name

SHANYTA NICOLE RUSSELL PSYD

Original Issue Date

01/08/2020

Effective Date

09/14/2024

Expiration Date

09/30/2026

City

RICHTON PARK

State

Zip

60471

County

COOK

Ever Disciplined

LastModifiedDate

09/14/2024