SHAWNA BETHANY BROUGH PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071011116

License Status

ACTIVE

Business

Title

PSYD

First Name

SHAWNA

Middle

BETHANY

Last Name

BROUGH

Business Name

SHAWNA BETHANY BROUGH PSYD

Original Issue Date

12/05/2023

Effective Date

08/21/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60651

Ever Disciplined

LastModifiedDate

08/21/2024