KELLEY THUY-LY PHAN Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010616

License Status

ACTIVE

Business

First Name

KELLEY

Middle

THUY-LY

Last Name

PHAN

Business Name

KELLEY THUY-LY PHAN

Original Issue Date

09/21/2021

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2026