GWEN D STEVENS Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146002978

License Status

INACTIVE

Business

First Name

GWEN D

Last Name

STEVENS

Business Name

GWEN D STEVENS

Original Issue Date

09/21/1989

Effective Date

10/06/2011

Expiration Date

10/31/2013

City

E GALESBURG

State

Zip

61430

County

KNOX

Ever Disciplined

LastModifiedDate

08/07/2013