JENNIFER ELIZABETH KOCH Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007625

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ELIZABETH

Last Name

KOCH

Business Name

JENNIFER ELIZABETH KOCH

Original Issue Date

02/06/2009

Effective Date

09/16/2010

Expiration Date

09/30/2012

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/08/2012