FORREST H BRAACK Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003510

License Status

NOT RENEWED

Business

First Name

FORREST H

Last Name

BRAACK

Business Name

FORREST H BRAACK

Original Issue Date

12/22/1986

Expiration Date

09/30/1996

City

RICHLAND

State

Zip

65556

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/03/2005