JACK K GENSKOW Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001187

License Status

CANCELLED

Business

First Name

JACK K

Last Name

GENSKOW

Business Name

JACK K GENSKOW

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/04/2005