JEROME ANTHONY FORD Marriage and Family Therapist License verification

Business Entity

NOT RENEWED

License Type

Marriage and Family Therapist

Description

ASSOCIATE LICENSED MARRIAGE AND FAMILY THERAPIST

License Number

208000239

License Status

NOT RENEWED

Business

First Name

JEROME

Middle

ANTHONY

Last Name

FORD

Business Name

JEROME ANTHONY FORD

Original Issue Date

10/24/2011

Effective Date

10/24/2011

Expiration Date

10/24/2016

City

YORKTOWN

State

Zip

23693

County

VIRGINIA

Ever Disciplined

LastModifiedDate

03/09/2017