JACK F MARTINEZ Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005224

License Status

INACTIVE

Business

First Name

JACK F

Last Name

MARTINEZ

Business Name

JACK F MARTINEZ

Original Issue Date

06/15/1996

Effective Date

08/31/2004

Expiration Date

09/30/2004

City

PERRY

State

Zip

04667

County

MAINE

Ever Disciplined

LastModifiedDate

09/11/2005