BREANNE NICOLE BOCKWOLDT - Speech-Language Pathologist License in Illinois | # 146013389

BREANNE NICOLE BOCKWOLDT

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146013389

License Status

NOT RENEWED

Business

N

First Name

BREANNE

Middle

NICOLE

Last Name

BOCKWOLDT

Business Name

BREANNE NICOLE BOCKWOLDT

Original Issue Date

07/15/2016

Effective Date

10/15/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022