LISA R BLACKMAN-SIDDALL Clinical Psychologist License verification

Business Entity

ACTIVE

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006331

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

BLACKMAN-SIDDALL

Business Name

LISA R BLACKMAN-SIDDALL

Original Issue Date

01/11/2002

Effective Date

09/14/2024

Expiration Date

09/30/2026

City

ESTERO

State

Zip

33928

County

LEE

Ever Disciplined

LastModifiedDate

09/14/2024