TINA M JACOBSEN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007384

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

JACOBSEN

Business Name

TINA M JACOBSEN

Original Issue Date

03/26/2003

Effective Date

11/12/2003

Expiration Date

10/31/2005

City

DUBUQUE

State

Zip

52002

County

IOWA

Ever Disciplined

LastModifiedDate

12/22/2005