KEITH ARLEN DIRKS Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071000706

License Status

INACTIVE

Business

First Name

KEITH ARLEN

Last Name

DIRKS

Business Name

KEITH ARLEN DIRKS

Original Issue Date

07/16/2008

Effective Date

07/10/2012

Expiration Date

09/30/2014

City

HARDIN

State

Zip

62047

County

CALHOUN

Ever Disciplined

LastModifiedDate

07/03/2014