BRIAN KEITH PRICE Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007309

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

KEITH

Last Name

PRICE

Business Name

BRIAN KEITH PRICE

Original Issue Date

07/24/2007

Effective Date

09/26/2016

Expiration Date

09/30/2018

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/05/2018