Professional Records
License Records
Keith A Staple
Address:
4307 SW Santa Barbara Pl APT 1, Cape Coral, FL
3763 Evans Ave, Fort Myers, FL
Phone:
(239) 258-1331
License #:
10709 - Expired
Category:
Health Care
Issued Date:
Dec 5, 2012
Effective Date:
Apr 17, 2017
Expiration Date:
Mar 31, 2015
Type:
Registered Mental Health Counselor Intern