KENNETH VANDOREN Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072001344

License Status

CANCELLED

Business

First Name

KENNETH

Last Name

VANDOREN

Business Name

KENNETH VANDOREN

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/12/2007