JENNIFER R CLARK Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006164

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

CLARK

Business Name

JENNIFER R CLARK

Original Issue Date

12/06/2000

Effective Date

09/22/2014

Expiration Date

09/30/2016

City

PORTLAND

State

Zip

97207

County

OREGON

Ever Disciplined

LastModifiedDate

07/06/2016