MARLENE B PROVANCE - Speech-Language Pathologist License in Missouri | # 146001642

MARLENE B PROVANCE

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146001642

License Status

NOT RENEWED

Business

N

First Name

MARLENE B

Last Name

PROVANCE

Business Name

MARLENE B PROVANCE

Original Issue Date

07/19/1989

Effective Date

12/10/2003

Expiration Date

10/31/2003

State

MO

Ever Disciplined

N

LastModifiedDate

09/11/2005