LAWRENCE A MILLER Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006826

License Status

INACTIVE

Business

First Name

LAWRENCE

Middle

Last Name

MILLER

Business Name

LAWRENCE A MILLER

Original Issue Date

01/31/2005

Effective Date

08/18/2008

Expiration Date

09/30/2010

City

CEDARBURG

State

Zip

53012

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/08/2010