ELAINE Z JACOBSON Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003263

License Status

CANCELLED

Business

First Name

ELAINE Z

Last Name

JACOBSON

Business Name

ELAINE Z JACOBSON

Original Issue Date

05/31/1985

Expiration Date

09/30/1990

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/04/2005