BEVERLY T BOERSMA Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146002890

License Status

NOT RENEWED

Business

First Name

BEVERLY T

Last Name

BOERSMA

Business Name

BEVERLY T BOERSMA

Original Issue Date

09/16/1989

Effective Date

11/21/2003

Expiration Date

10/31/2005

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

12/22/2005