KIRK W BOYENGA Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071004451

License Status

NOT RENEWED

Business

First Name

KIRK

Middle

Last Name

BOYENGA

Business Name

KIRK W BOYENGA

Original Issue Date

03/11/1992

Effective Date

07/16/2018

Expiration Date

09/30/2020

City

WENTZVILLE

State

Zip

63385

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021