DIANE J COLEN Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003209

License Status

INACTIVE

Business

First Name

DIANE J

Last Name

COLEN

Business Name

DIANE J COLEN

Original Issue Date

12/21/1984

Effective Date

09/28/2020

Expiration Date

09/30/2022

City

FITCHBURG

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/30/2022