NATASHA ELIZABETH BULLOCK REST Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003200

License Status

NOT RENEWED

Business

First Name

NATASHA

Middle

ELIZABETH

Last Name

BULLOCK REST

Business Name

NATASHA ELIZABETH BULLOCK REST

Original Issue Date

08/19/2014

Effective Date

08/18/2015

Expiration Date

08/18/2016

City

FAYETTEVILLE

State

Zip

72703

Ever Disciplined

LastModifiedDate

03/09/2017