LARRY THOMAS DICKERSON Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005007

License Status

INACTIVE

Business

First Name

LARRY THOMAS

Last Name

DICKERSON

Business Name

LARRY THOMAS DICKERSON

Original Issue Date

08/13/1996

Effective Date

11/07/2018

Expiration Date

10/31/2019

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

08/03/2019