The holder whose full name is BEAVERS, KENNETH ALLEN,come from COLUMBUS IN,hold the Psychologist license(NO.20040015A) which status is Expired.
| Name | BEAVERS, KENNETH ALLEN |
|---|---|
| License Number | 20040015A |
| License Type | Psychologist |
| License Status | Expired |
| City | COLUMBUS |
| State | IN |