DIANA L GREEN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146001386

License Status

NOT RENEWED

Business

First Name

DIANA L

Last Name

GREEN

Business Name

DIANA L GREEN

Original Issue Date

07/03/1989

Effective Date

08/28/2009

Expiration Date

10/31/2011

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

12/07/2011