PATRICIA ANN STARK Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002494

License Status

CANCELLED

Business

First Name

PATRICIA ANN

Last Name

STARK

Business Name

PATRICIA ANN STARK

Original Issue Date

05/23/1979

Expiration Date

09/30/1990

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

09/04/2005