Florida Department of State and Division of Library and Information Services

Reference: Ref-04710

Reference Name: DH-MQA 1187 (06-14)
Agency: 64 Department of Health
64B19 Board of Psychology

Original Document(s):
10/1/2014 Psychologist Licensure Application (64B19-11.012)
Modified Document(s): No Modified document(s).
Description: Psychologist Licensure Application (64B19-11.012)

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted		 Section Description ID Publish
Date
View Text Final
64B19-11.012 		Application Forms 15193612 Effective:
11/02/2014



Under Florida law, E-mail addresses are public records. If you do not want your E-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.