DONNA M BALLARD Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146002460

License Status

NOT RENEWED

Business

First Name

DONNA M

Last Name

BALLARD

Business Name

DONNA M BALLARD

Original Issue Date

09/02/1989

Effective Date

08/07/2017

Expiration Date

10/31/2019

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/23/2020