JEROME R LORENZ Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001823

License Status

NOT RENEWED

Business

First Name

JEROME R

Last Name

LORENZ

Business Name

JEROME R LORENZ

Original Issue Date

02/04/1975

Expiration Date

09/30/1984

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/04/2005