ELISA NICOLE GREEN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007764

License Status

NOT RENEWED

Business

First Name

ELISA

Middle

NICOLE

Last Name

GREEN

Business Name

ELISA NICOLE GREEN

Original Issue Date

06/03/2004

Effective Date

10/26/2011

Expiration Date

10/31/2013

City

LONG GROVE

State

Zip

52756

County

IOWA

Ever Disciplined

LastModifiedDate

12/10/2013