MARY ANN SMITH Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005163

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ANN

Last Name

SMITH

Business Name

MARY ANN SMITH

Original Issue Date

03/11/1997

Effective Date

10/31/2019

Expiration Date

01/31/2022

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/18/2022