HOLLY G FIDDELKE Clinical Psychologist License verification

Business Entity

INACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071003654

License Status

INACTIVE

Business

First Name

HOLLY G

Last Name

FIDDELKE

Business Name

HOLLY G FIDDELKE

Original Issue Date

12/12/1987

Effective Date

08/19/2004

Expiration Date

09/30/2004

City

PUNTA GORDA

State

Zip

33950

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/11/2005