DARRELL J DERN Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146001839

License Status

INACTIVE

Business

First Name

DARRELL J

Last Name

DERN

Business Name

DARRELL J DERN

Original Issue Date

08/02/1989

Expiration Date

10/31/1991

City

PHOENIX

State

Zip

85022

County

ARIZONA

Ever Disciplined

LastModifiedDate

07/28/2005