FORREST H BRAACK Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003510

License Status

CANCELLED

Business

First Name

FORREST H

Last Name

BRAACK

Business Name

FORREST H BRAACK

Original Issue Date

12/22/1986

Expiration Date

09/30/1990

City

HARRIETTA

State

Zip

49638

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/04/2005