GAIL L PETERSON Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002561

License Status

NOT RENEWED

Business

First Name

GAIL L

Last Name

PETERSON

Business Name

GAIL L PETERSON

Original Issue Date

11/21/1979

Effective Date

09/01/2020

Expiration Date

09/30/2022

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

11/28/2022