DANIEL T HOLLY Clinical Psychologist License verification

Business Entity

CANCELLED

License Type

Clinical Psychologist

Description

REGISTERED PSYCHOLOGIST

License Number

072003155

License Status

CANCELLED

Business

First Name

DANIEL

Middle

Last Name

HOLLY

Business Name

DANIEL T HOLLY

Original Issue Date

07/09/1984

Expiration Date

09/30/1990

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/04/2005