DENIS IAN JACKSON Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010485

License Status

ACTIVE

Business

First Name

DENIS

Middle

IAN

Last Name

JACKSON

Business Name

DENIS IAN JACKSON

Original Issue Date

03/03/2021

Effective Date

07/04/2024

Expiration Date

09/30/2026

City

WAUWATOSA

State

Zip

53226

Ever Disciplined

LastModifiedDate

07/04/2024