KEITH BRYAN WHITE Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006213

License Status

ACTIVE

Business

First Name

KEITH

Middle

BRYAN

Last Name

WHITE

Business Name

KEITH BRYAN WHITE

Original Issue Date

01/29/2001

Effective Date

07/15/2024

Expiration Date

09/30/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/15/2024