CONNIE BAZIL Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000296

License Status

NOT RENEWED

Business

First Name

CONNIE

Last Name

BAZIL

Business Name

CONNIE BAZIL

Original Issue Date

08/25/1989

Effective Date

11/05/2009

Expiration Date

10/31/2011

City

COLORADO SPRINGS

State

Zip

80919

County

COLORADO

Ever Disciplined

LastModifiedDate

12/07/2011