JENNIFER LEE FAST Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008255

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

LEE

Last Name

FAST

Business Name

JENNIFER LEE FAST

Original Issue Date

11/29/2011

Effective Date

09/27/2018

Expiration Date

09/30/2020

City

FORT WORTH

State

Zip

76123

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2020