BETH JACOBS Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003627

License Status

CANCELLED

Business

First Name

BETH

Last Name

JACOBS

Business Name

BETH JACOBS

Original Issue Date

12/12/1987

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2005