JACKIE P MODAHL Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146006046

License Status

INACTIVE

Business

First Name

JACKIE

Middle

Last Name

MODAHL

Business Name

JACKIE P MODAHL

Original Issue Date

07/26/1999

Effective Date

08/11/2009

Expiration Date

10/31/2011

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

08/03/2011