GARY J LOETHEN PHD Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005064

License Status

INACTIVE

Business

First Name

GARY

Middle

Last Name

LOETHEN

Suffix

PHD

Business Name

GARY J LOETHEN PHD

Original Issue Date

07/25/1995

Effective Date

07/10/2012

Expiration Date

09/30/2014

City

TOMAH

State

Zip

54660

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/03/2014