KRISTIN K LARSON Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006423

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

LARSON

Business Name

KRISTIN K LARSON

Original Issue Date

08/12/2002

Effective Date

10/01/2018

Expiration Date

09/30/2020

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

01/14/2021