ROBERTA M FISH Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004266

License Status

INACTIVE

Business

First Name

ROBERTA M

Last Name

FISH

Business Name

ROBERTA M FISH

Original Issue Date

12/17/1991

Effective Date

10/11/2001

Expiration Date

11/30/2001

City

LAKE MARY

State

Zip

32746

County

FLORIDA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005