STEPHANIE M GREEN Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010945

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

GREEN

Business Name

STEPHANIE M GREEN

Original Issue Date

02/27/2023

Effective Date

11/11/2024

Expiration Date

09/30/2026

City

JOLIET

State

Zip

60435

Ever Disciplined

LastModifiedDate

11/11/2024