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Mountain Lake
Licensee/Applicant Lookup
Licensee/Applicant Detail - Verification of Licensure/Application Status

Information current as of: 05/16/2013
Query Time: 05/19/2013 06:35:29 am

This site is a primary source for verification of license/applicant credentials and is updated daily.


License/Application Number 821
First Name Kenneth J.
Last Name Keller
Title Ph.D.
Address 5151 E. Broadway, #720
City Tucson
State AZ
Country U.S.A
Phone Number 520-790-7583
Status Inactive Psychologist
Date Licensed 5/11/1989
Expiration Date 10/31/2014
Proposed or Final Board Action No
Under Supervision No

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