JESSICA L MACK Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008471

License Status

INACTIVE

Business

First Name

JESSICA

Middle

Last Name

MACK

Business Name

JESSICA L MACK

Original Issue Date

11/28/2012

Effective Date

11/28/2012

Expiration Date

09/30/2014

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

07/03/2014