TARA L CAPUTO Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005034

License Status

INACTIVE

Business

First Name

TARA L

Last Name

CAPUTO

Business Name

TARA L CAPUTO

Original Issue Date

09/14/1996

Effective Date

01/07/2004

Expiration Date

10/31/2003

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005