CLARENCE RAE BROOKS Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001535

License Status

NOT RENEWED

Business

First Name

CLARENCE RAE

Last Name

BROOKS

Business Name

CLARENCE RAE BROOKS

Original Issue Date

07/13/1972

Effective Date

11/01/2004

Expiration Date

09/30/2004

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005