RONALD A HAVENS Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001869

License Status

CANCELLED

Business

First Name

RONALD A

Last Name

HAVENS

Business Name

RONALD A HAVENS

Original Issue Date

06/26/1975

Expiration Date

09/30/1990

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/04/2005