EDWARD L CONRAD Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002376

License Status

INACTIVE

Business

First Name

EDWARD L

Last Name

CONRAD

Business Name

EDWARD L CONRAD

Original Issue Date

11/28/1978

Effective Date

07/13/2006

Expiration Date

09/30/2008

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2008