GERALD KISSIN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001625

License Status

INACTIVE

Business

First Name

GERALD

Last Name

KISSIN

Business Name

GERALD KISSIN

Original Issue Date

01/23/1973

Effective Date

08/31/2004

Expiration Date

09/30/2004

City

JACKSONVILLE

State

Zip

32257

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/11/2005