AMY NICOLE STANLEY Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005506

License Status

NOT RENEWED

Business

First Name

AMY

Middle

NICOLE

Last Name

STANLEY

Business Name

AMY NICOLE STANLEY

Original Issue Date

04/02/1998

Effective Date

08/19/2009

Expiration Date

10/31/2011

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

12/07/2011