JEAN A BENACKER Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003677

License Status

NOT RENEWED

Business

First Name

JEAN A

Last Name

BENACKER

Business Name

JEAN A BENACKER

Original Issue Date

12/12/1987

Effective Date

07/16/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021