PHILIP ANDREW BURKE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007221

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

ANDREW

Last Name

BURKE

Business Name

PHILIP ANDREW BURKE

Original Issue Date

03/13/2007

Effective Date

07/16/2012

Expiration Date

09/30/2014

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

11/17/2014