MARY J TIMBERLAKE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004736

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

TIMBERLAKE

Business Name

MARY J TIMBERLAKE

Original Issue Date

09/19/1995

Effective Date

08/19/2019

Expiration Date

01/31/2022

City

MT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

05/18/2022