MICKI L LARSON Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146001373

License Status

NOT RENEWED

Business

First Name

MICKI L

Last Name

LARSON

Business Name

MICKI L LARSON

Original Issue Date

07/08/1989

Effective Date

10/19/2015

Expiration Date

10/31/2017

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/04/2018