DIANE L FOURDYCE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146000125

License Status

NOT RENEWED

Business

First Name

DIANE L

Last Name

FOURDYCE

Business Name

DIANE L FOURDYCE

Original Issue Date

04/21/1989

Effective Date

10/07/2015

Expiration Date

10/31/2017

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

01/04/2018