CHARLES R CARLSON Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003309

License Status

INACTIVE

Business

First Name

CHARLES R

Last Name

CARLSON

Business Name

CHARLES R CARLSON

Original Issue Date

09/12/1985

Expiration Date

09/30/1988

City

LEXINGTON

State

Zip

40506

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/03/2005