TRACIE L LANE Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146000783

License Status

INACTIVE

Business

First Name

TRACIE L

Last Name

LANE

Business Name

TRACIE L LANE

Original Issue Date

05/31/1989

Effective Date

10/06/2003

Expiration Date

10/31/2005

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

09/09/2005