DAVID R KENIS Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071002734

License Status

INACTIVE

Business

First Name

DAVID R

Last Name

KENIS

Business Name

DAVID R KENIS

Original Issue Date

11/12/1980

Expiration Date

09/30/1994

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

09/03/2005