LENE HOLM LARSEN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005741

License Status

INACTIVE

Business

First Name

LENE

Middle

HOLM

Last Name

LARSEN

Business Name

LENE HOLM LARSEN

Original Issue Date

10/14/1998

Effective Date

05/13/2005

Expiration Date

09/30/2006

City

WAYNE

State

Zip

19087

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

07/13/2006