License holder summary

Russell Ellis Lark is a Psychology - Health Service Provider licensed to practice in Iowa. The address on file for Russell Ellis Lark is 1900 HIGH ST E 116 DES MOINES IA 50309. This licensed professional license is not current. The license was granted 06/03/2008 and expired on 06/30/2012.

Iowa

Professional Licensing Bureau

Russell Ellis Lark
Psychology - Health Service Provider
License number
000505
Date granted
06/03/2008
Date expires
06/30/2012
Class
Psychology - Health Service Provider
Status
Inactive
Address
1900 HIGH ST E 116 DES MOINES IA 50309
iowalicenses.org
ID 24195285
LAST UPDATED 2024-04-07 17:56:13 UTC

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