EDWIN A HALLSTEN JR Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001451

License Status

NOT RENEWED

Business

First Name

EDWIN A

Last Name

HALLSTEN JR

Business Name

EDWIN A HALLSTEN JR

Original Issue Date

02/16/1972

Effective Date

07/16/2012

Expiration Date

09/30/2014

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014