GERALD J WELLENS Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071001787

License Status

INACTIVE

Business

First Name

GERALD J

Last Name

WELLENS

Business Name

GERALD J WELLENS

Original Issue Date

07/08/1974

Effective Date

12/06/2004

Expiration Date

09/30/2006

City

GREEN BAY

State

Zip

54311

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/13/2006