JEFFERY P HENDERSON PHD Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006665

License Status

NOT RENEWED

Business

First Name

JEFFERY

Middle

Last Name

HENDERSON

Suffix

PHD

Business Name

JEFFERY P HENDERSON PHD

Original Issue Date

01/20/2004

Effective Date

11/01/2004

Expiration Date

09/30/2004

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

09/11/2005