JEREMY E MIRSKY Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006718

License Status

INACTIVE

Business

First Name

JEREMY

Middle

Last Name

MIRSKY

Business Name

JEREMY E MIRSKY

Original Issue Date

05/24/2004

Effective Date

05/24/2004

Expiration Date

09/30/2006

City

FRAMINGHAM

State

Zip

01702

Ever Disciplined

LastModifiedDate

07/13/2006