HOLLY MOAK FEDOR Clinical Psychologist License verification

Business Entity

NOT RENEWED

License Type

Clinical Psychologist

Description

CLINICAL PSYCHOLOGIST

License Number

071006975

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

MOAK

Last Name

FEDOR

Business Name

HOLLY MOAK FEDOR

Original Issue Date

12/29/2005

Effective Date

09/28/2022

Expiration Date

09/30/2024

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

02/27/2025