JACK A TEITSMA Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005337

License Status

NOT RENEWED

Business

First Name

JACK

Middle

Last Name

TEITSMA

Business Name

JACK A TEITSMA

Original Issue Date

12/24/1996

Effective Date

07/15/2008

Expiration Date

09/30/2010

City

LEAGUE CITY

State

Zip

77573

Ever Disciplined

LastModifiedDate

11/08/2010