LEEANN G JACOBSEN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146000238

License Status

NOT RENEWED

Business

First Name

LEEANN G

Last Name

JACOBSEN

Business Name

LEEANN G JACOBSEN

Original Issue Date

04/11/1989

Effective Date

10/29/2019

Expiration Date

01/31/2022

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/18/2022