JACK STUART GARDEN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005457

License Status

INACTIVE

Business

First Name

JACK STUART

Last Name

GARDEN

Business Name

JACK STUART GARDEN

Original Issue Date

07/02/1997

Effective Date

08/20/2004

Expiration Date

09/30/2006

City

SEDONA

State

Zip

86351

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/13/2006