KEITH W BURTON Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071007341

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

BURTON

Business Name

KEITH W BURTON

Original Issue Date

09/20/2007

Effective Date

09/17/2024

Expiration Date

09/30/2026

City

APPLETON

State

Zip

54913

Ever Disciplined

LastModifiedDate

09/17/2024