NICOLINE G AMBROSE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146003599

License Status

NOT RENEWED

Business

First Name

NICOLINE G

Last Name

AMBROSE

Business Name

NICOLINE G AMBROSE

Original Issue Date

02/05/1991

Effective Date

09/27/2011

Expiration Date

10/31/2013

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/10/2013