JENNIFER RENEE FANNING Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009426

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

RENEE

Last Name

FANNING

Business Name

JENNIFER RENEE FANNING

Original Issue Date

12/05/2016

Effective Date

09/24/2018

Expiration Date

09/30/2020

City

WAKEFIELD

State

Zip

01880

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021