PATRICIA ANN STARK Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002494

License Status

ACTIVE

Business

First Name

PATRICIA ANN

Last Name

STARK

Business Name

PATRICIA ANN STARK

Original Issue Date

05/23/1979

Effective Date

08/17/2024

Expiration Date

09/30/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

08/17/2024