JEFFERY EUGENE BASS Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071022572

License Status

ACTIVE

Business

First Name

JEFFERY

Middle

EUGENE

Last Name

BASS

Business Name

JEFFERY EUGENE BASS

Original Issue Date

12/18/2025

Effective Date

12/18/2025

Expiration Date

09/30/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

12/18/2025