WALLACE S BALCERZAK Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002039

License Status

NOT RENEWED

Business

First Name

WALLACE S

Last Name

BALCERZAK

Business Name

WALLACE S BALCERZAK

Original Issue Date

12/28/1976

Expiration Date

09/30/1984

City

ST PAUL

State

Zip

55101

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/04/2005