ELAINE Z JACOBSON Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003263

License Status

NOT RENEWED

Business

First Name

ELAINE Z

Last Name

JACOBSON

Business Name

ELAINE Z JACOBSON

Original Issue Date

05/31/1985

Effective Date

08/28/2012

Expiration Date

09/30/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/17/2014