BROOKE REGINA JACOBS PSYD Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010824

License Status

ACTIVE

Business

Title

PSYD

First Name

BROOKE

Middle

REGINA

Last Name

JACOBS

Business Name

BROOKE REGINA JACOBS PSYD

Original Issue Date

08/27/2022

Effective Date

07/04/2024

Expiration Date

09/30/2026

City

GRAND CHAIN

State

Zip

62941

County

MASSAC

Ever Disciplined

LastModifiedDate

07/04/2024