RALPH E VAN ATTA Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001644

License Status

INACTIVE

Business

First Name

RALPH E

Last Name

VAN ATTA

Business Name

RALPH E VAN ATTA

Original Issue Date

01/23/1973

Expiration Date

09/30/1988

City

WAUKESHA

State

Zip

53188

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/03/2005