Jack Edward Formanek
Behavioral Science - Mental Health Counselor
Iowa 00205 Active
This Iowa license is held by Jack Edward Formanek. The license is currently active. It was granted on 03/22/1996 and expired on 09/30/2016
LICENSE DETAILS
- License Number: 00205
- Category: Mental Health Counselor
- Status: Active
- Date Granted: 03/22/1996 (about 28 years ago)
- Expiry Date: 09/30/2016 (over 7 years ago)
LOCATIONS
A Address
307 E VIEW DR COUNCIL BLUFFS IA 51503
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