RONALD A HAVENS Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001869

License Status

NOT RENEWED

Business

First Name

RONALD A

Last Name

HAVENS

Business Name

RONALD A HAVENS

Original Issue Date

06/26/1975

Effective Date

07/11/2016

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/05/2018