KENNETH LEE GRIZZLE Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071005907

License Status

INACTIVE

Business

First Name

KENNETH

Middle

LEE

Last Name

GRIZZLE

Business Name

KENNETH LEE GRIZZLE

Original Issue Date

08/04/1999

Effective Date

07/28/2000

Expiration Date

09/30/2000

City

WAUWATOSA

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005