KENNETH L RUSS Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072002117

License Status

CANCELLED

Business

First Name

KENNETH L

Last Name

RUSS

Business Name

KENNETH L RUSS

Original Issue Date

12/28/1976

Expiration Date

09/30/1990

City

CLAYTON

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/04/2005