SHANNON MARIE WALLER - Speech-Language Pathologist License in Michigan | # 146007416

SHANNON MARIE WALLER

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007416

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

MARIE

Last Name

WALLER

Business Name

SHANNON MARIE WALLER

Original Issue Date

04/25/2003

Effective Date

10/24/2011

Expiration Date

10/31/2013

State

MI

Ever Disciplined

N

LastModifiedDate

12/10/2013