JENNIFER MICHELLE GREEN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007577

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MICHELLE

Last Name

GREEN

Business Name

JENNIFER MICHELLE GREEN

Original Issue Date

10/08/2003

Effective Date

10/08/2019

Expiration Date

01/31/2022

City

COLUMBIA

State

Zip

62236

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/18/2022