IRVING JACKS Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001202

License Status

NOT RENEWED

Business

First Name

IRVING

Last Name

JACKS

Business Name

IRVING JACKS

Original Issue Date

01/01/1998

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/04/2005