DAVID R KENIS Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002734

License Status

CANCELLED

Business

First Name

DAVID R

Last Name

KENIS

Business Name

DAVID R KENIS

Original Issue Date

11/12/1980

Expiration Date

09/30/1990

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

09/04/2005