GAIL L PETERSON Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002561

License Status

CANCELLED

Business

First Name

GAIL L

Last Name

PETERSON

Business Name

GAIL L PETERSON

Original Issue Date

11/21/1979

Expiration Date

09/30/1990

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/04/2005