RONALD W WALLER Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003036

License Status

INACTIVE

Business

First Name

RONALD W

Last Name

WALLER

Business Name

RONALD W WALLER

Original Issue Date

05/24/1983

Expiration Date

09/30/1988

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/03/2005