MARILYN K HUMPAGE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146003902

License Status

NOT RENEWED

Business

First Name

MARILYN K

Last Name

HUMPAGE

Business Name

MARILYN K HUMPAGE

Original Issue Date

06/29/1992

Effective Date

10/09/2003

Expiration Date

10/31/2005

City

LASALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

12/22/2005