MICHAEL W LANGE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005217

License Status

NOT RENEWED

Business

First Name

MICHAEL W

Last Name

LANGE

Business Name

MICHAEL W LANGE

Original Issue Date

05/12/1997

Effective Date

10/06/2015

Expiration Date

10/31/2017

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/04/2018