MADELINE R SHANE Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006888

License Status

EXPIRED

Business

First Name

MADELINE

Middle

Last Name

SHANE

Business Name

MADELINE R SHANE

Original Issue Date

07/15/2022

Effective Date

07/15/2022

Expiration Date

01/15/2024

City

CLEARWATER

State

Zip

33764

Ever Disciplined

LastModifiedDate

01/08/2025