Iowa
Professional Licensing Bureau
Jack Edward Formanek
Behavioral Science - Mental Health Counselor
License number
00205
Date granted
03/22/1996
Date expires
09/30/2016
Class
Behavioral Science - Mental Health Counselor
Status
Active
Address
307 E VIEW DR COUNCIL BLUFFS IA 51503
iowalicenses.org
ID 24123023
LAST UPDATED 2024-03-29 05:49:32 UTC
LAST UPDATED 2024-03-29 05:49:32 UTC
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