TAMMY CHRISTINE JOHANSON BUSH Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005796

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

CHRISTINE

Last Name

JOHANSON BUSH

Business Name

TAMMY CHRISTINE JOHANSON BUSH

Original Issue Date

11/18/1998

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

SANTA CRUZ

State

Zip

95060

Ever Disciplined

LastModifiedDate

09/11/2005