WENDY L CUSTIS Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146002911

License Status

INACTIVE

Business

First Name

WENDY L

Last Name

CUSTIS

Business Name

WENDY L CUSTIS

Original Issue Date

09/16/1989

Effective Date

10/12/2017

Expiration Date

10/31/2019

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/03/2019