JOHN R SHACK Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001495

License Status

NOT RENEWED

Business

First Name

JOHN R

Last Name

SHACK

Business Name

JOHN R SHACK

Original Issue Date

02/16/1972

Effective Date

08/10/2004

Expiration Date

09/30/2006

City

DOUGLAS

State

Zip

49406

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/08/2006