JULIE BETH FORTENBERRY Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001067

License Status

INACTIVE

Business

First Name

JULIE

Middle

BETH

Last Name

FORTENBERRY

Business Name

JULIE BETH FORTENBERRY

Original Issue Date

12/19/2002

Effective Date

10/30/2003

Expiration Date

10/31/2005

City

CLEVELAND

State

Zip

35049

Ever Disciplined

LastModifiedDate

09/09/2005