SANDRA L ETTEMA Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004618

License Status

NOT RENEWED

Business

First Name

SANDRA L

Last Name

ETTEMA

Business Name

SANDRA L ETTEMA

Original Issue Date

05/24/1995

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

SPRINGFIELD

State

Zip

62794

Ever Disciplined

LastModifiedDate

09/11/2005