BREANNE NICOLE BOCKWOLDT - Speech-Language Pathologist License in Illinois | # 242003680

BREANNE NICOLE BOCKWOLDT

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003680

License Status

NOT RENEWED

Business

N

First Name

BREANNE

Middle

NICOLE

Last Name

BOCKWOLDT

Business Name

BREANNE NICOLE BOCKWOLDT

Original Issue Date

08/05/2015

Effective Date

08/05/2015

Expiration Date

08/05/2016

State

IL

Ever Disciplined

N

LastModifiedDate

03/09/2017