KEITH ARLEN DIRKS Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072000706

License Status

CANCELLED

Business

First Name

KEITH ARLEN

Last Name

DIRKS

Business Name

KEITH ARLEN DIRKS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

KAMPSVILLE

State

Zip

62053

County

CALHOUN

Ever Disciplined

LastModifiedDate

09/04/2005