LARRABETH A BERGSTROM Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146002106

License Status

NOT RENEWED

Business

First Name

LARRABETH A

Last Name

BERGSTROM

Business Name

LARRABETH A BERGSTROM

Original Issue Date

08/18/1989

Effective Date

10/27/2003

Expiration Date

10/31/2005

City

MILLEDGEVILLE

State

Zip

61051

County

CARROLL

Ever Disciplined

LastModifiedDate

12/22/2005