COLLEEN E ANTCZAK - Speech-Language Pathologist License in Wisconsin | # 242003348

COLLEEN E ANTCZAK

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003348

License Status

NOT RENEWED

Business

N

First Name

COLLEEN

Middle

E

Last Name

ANTCZAK

Business Name

COLLEEN E ANTCZAK

Original Issue Date

10/08/2014

Effective Date

10/08/2014

Expiration Date

10/08/2015

State

WI

Ever Disciplined

N

LastModifiedDate

01/07/2016