BRENDA L GREENE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146006452

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

Last Name

GREENE

Business Name

BRENDA L GREENE

Original Issue Date

09/27/2000

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

FORT DEFIANCE

State

Zip

86504

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/11/2005