THEODORE J LAVAQUE - Clinical Psychologist License in Wisconsin | # 072001884

THEODORE J LAVAQUE

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001884

License Status

CANCELLED

Business

N

First Name

THEODORE J

Last Name

LAVAQUE

Business Name

THEODORE J LAVAQUE

Original Issue Date

06/26/1975

Expiration Date

09/30/1990

State

WI

Ever Disciplined

N

LastModifiedDate

09/04/2005