LESLIE J FREDERICK Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146000729

License Status

INACTIVE

Business

First Name

LESLIE J

Last Name

FREDERICK

Business Name

LESLIE J FREDERICK

Original Issue Date

05/31/1989

Expiration Date

10/31/1995

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/28/2005