EDWARD FRANK STABA Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071010207

License Status

ACTIVE

Business

First Name

EDWARD

Middle

FRANK

Last Name

STABA

Business Name

EDWARD FRANK STABA

Original Issue Date

12/19/2019

Effective Date

09/03/2024

Expiration Date

09/30/2026

City

CARBONDALE

State

Zip

62901

Ever Disciplined

LastModifiedDate

09/03/2024