GERALD J NIEWOEHNER Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001735

License Status

INACTIVE

Business

First Name

GERALD J

Last Name

NIEWOEHNER

Business Name

GERALD J NIEWOEHNER

Original Issue Date

02/19/1974

Effective Date

07/10/2008

Expiration Date

09/30/2010

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/08/2010