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Licensee/Applicant Detail - Verification of Licensure/Application Status

Information current as of: 06/24/2019
Query Time: 06/24/2019 11:28:34 pm

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License/Application Number 1500
First Name Shelly K.
Last Name Kerr
Title Ph.D.
Address 1590 East 13th Avenue
City Eugene
State OR
Country U.S.A
Phone Number 541-346-2700
Status Active Psychologist
Date Licensed 4/12/2002
Expiration Date 9/30/2019
Proposed or Final Board Action Yes   View
Under Supervision No

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