JEANINE R STANDARD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007101

License Status

ACTIVE

Business

First Name

JEANINE

Middle

Last Name

STANDARD

Business Name

JEANINE R STANDARD

Original Issue Date

08/23/2006

Effective Date

09/05/2024

Expiration Date

09/30/2026

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

09/05/2024