DAVID R EVENSON Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005341

License Status

INACTIVE

Business

First Name

DAVID R

Last Name

EVENSON

Business Name

DAVID R EVENSON

Original Issue Date

12/24/1996

Effective Date

09/12/2016

Expiration Date

09/30/2018

City

STURGEON BAY

State

Zip

54235

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/07/2018