ALAN W JACOBS Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002149

License Status

CANCELLED

Business

First Name

ALAN W

Last Name

JACOBS

Business Name

ALAN W JACOBS

Original Issue Date

12/28/1976

Expiration Date

09/30/1990

City

LODA

State

Zip

60948

County

IROQUOIS

Ever Disciplined

LastModifiedDate

09/04/2005