ROBERT LEON JACKSON Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001761

License Status

ACTIVE

Business

First Name

ROBERT LEON

Last Name

JACKSON

Business Name

ROBERT LEON JACKSON

Original Issue Date

07/08/1974

Effective Date

08/23/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/23/2024