DIANE M RUSS - Speech-Language Pathologist License in New York | # 147000064

DIANE M RUSS

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000064

License Status

INACTIVE

Business

N

First Name

DIANE M

Last Name

RUSS

Business Name

DIANE M RUSS

Original Issue Date

05/05/1989

Effective Date

10/14/2003

Expiration Date

10/31/2005

State

NY

Ever Disciplined

N

LastModifiedDate

09/09/2005