ROBERT LEON JACKSON Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001761

License Status

CANCELLED

Business

First Name

ROBERT LEON

Last Name

JACKSON

Business Name

ROBERT LEON JACKSON

Original Issue Date

07/08/1974

Expiration Date

09/30/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/04/2005