License holder summary

Malcolm O Jackson Ph D P C is a Psychology Board - Psychology Corporation licensed to practice in Indiana. The address on file for Malcolm O Jackson Ph D P C is 6069 W PLESANT VALLEY DRIVE, ANDERSON IN 46011. This licensed professional license is not current. The license was granted 05/16/1994 and expired on 01/31/2012.

Indiana

Professional Licensing Agency

Malcolm O Jackson Ph D P C
Psychology Board - Psychology Corporation
License number
57000055A
Date granted
05/16/1994
Date expires
01/31/2012
Class
Psychology Board - Psychology Corporation
Status
Surrendered
Address
6069 W PLESANT VALLEY DRIVE, ANDERSON IN 46011
indianalicensing.org
ID 24929155
LAST UPDATED 2024-03-01 05:04:25 UTC

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