MARY EVELYN MOORE Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146000848

License Status

INACTIVE

Business

First Name

MARY EVELYN

Last Name

MOORE

Business Name

MARY EVELYN MOORE

Original Issue Date

06/09/1989

Effective Date

09/29/2003

Expiration Date

10/31/2003

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005