STEPHANIE M PROKUP Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146010835

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

PROKUP

Business Name

STEPHANIE M PROKUP

Original Issue Date

08/02/2011

Effective Date

10/07/2013

Expiration Date

10/31/2015

City

VENICE

State

Zip

34293

County

FLORIDA

Ever Disciplined

LastModifiedDate

12/09/2015