LATASHA SHONTELLE MILLER Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071022495

License Status

ACTIVE

Business

First Name

LATASHA

Middle

SHONTELLE

Last Name

MILLER

Business Name

LATASHA SHONTELLE MILLER

Original Issue Date

11/17/2025

Effective Date

11/17/2025

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2025