MICHAEL J JENUWINE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006510

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

JENUWINE

Business Name

MICHAEL J JENUWINE

Original Issue Date

02/21/2003

Effective Date

12/17/2010

Expiration Date

09/30/2012

City

SOUTH BEND

State

Zip

46617

County

INDIANA

Ever Disciplined

LastModifiedDate

11/08/2012