STEPHANIE M PROKUP Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001701

License Status

EXPIRED

Business

First Name

STEPHANIE

Middle

Last Name

PROKUP

Business Name

STEPHANIE M PROKUP

Original Issue Date

08/25/2010

Effective Date

08/25/2010

Expiration Date

08/25/2011

City

VENICE

State

Zip

34293

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/30/2011