MICHAEL A LACE Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004623

License Status

INACTIVE

Business

First Name

MICHAEL A

Last Name

LACE

Business Name

MICHAEL A LACE

Original Issue Date

03/03/1993

Expiration Date

09/30/1994

City

EAU CLAIRE

State

Zip

54701

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/03/2005