LAWRENCE J STAVA Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003721

License Status

INACTIVE

Business

First Name

LAWRENCE J

Last Name

STAVA

Business Name

LAWRENCE J STAVA

Original Issue Date

02/18/1988

Expiration Date

09/30/1988

City

COTTAGE GROVE

State

Zip

53527

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/03/2005