KELLY JANE BALK Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071009051

License Status

ACTIVE

Business

First Name

KELLY

Middle

JANE

Last Name

BALK

Business Name

KELLY JANE BALK

Original Issue Date

03/24/2015

Effective Date

08/21/2024

Expiration Date

09/30/2026

City

WESTPORT

State

Zip

53597

Ever Disciplined

LastModifiedDate

08/21/2024