JACK K GENSKOW Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001187

License Status

INACTIVE

Business

First Name

JACK K

Last Name

GENSKOW

Business Name

JACK K GENSKOW

Expiration Date

09/30/1996

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/03/2005