CHARLES E LANE Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000245

License Status

CANCELLED

Business

First Name

CHARLES E

Last Name

LANE

Business Name

CHARLES E LANE

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

APPLETON

State

Zip

54914

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/04/2005