KEITH WAYNE FRIDEL PHD Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071008852

License Status

NOT RENEWED

Business

Title

PHD

First Name

KEITH

Middle

WAYNE

Last Name

FRIDEL

Business Name

KEITH WAYNE FRIDEL PHD

Original Issue Date

07/09/2014

Effective Date

10/01/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

55438

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021