ALAN W JACOBS Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002149

License Status

NOT RENEWED

Business

First Name

ALAN W

Last Name

JACOBS

Business Name

ALAN W JACOBS

Original Issue Date

12/28/1976

Effective Date

09/02/2022

Expiration Date

09/30/2024

City

LODA

State

Zip

60948

County

IROQUOIS

Ever Disciplined

LastModifiedDate

02/27/2025