JEAN A BENACKER Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003677

License Status

CANCELLED

Business

First Name

JEAN A

Last Name

BENACKER

Business Name

JEAN A BENACKER

Original Issue Date

12/12/1987

Expiration Date

09/30/1990

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/04/2005