SAMUEL L JENNY Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001136

License Status

CANCELLED

Business

First Name

SAMUEL L

Last Name

JENNY

Business Name

SAMUEL L JENNY

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

FARMINGTON

State

Zip

87401

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/04/2005