ROGER D BASTIAN Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146001929

License Status

INACTIVE

Business

First Name

ROGER D

Last Name

BASTIAN

Business Name

ROGER D BASTIAN

Original Issue Date

08/08/1989

Expiration Date

10/31/1993

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/28/2005