MICHELLE MARIE SOUKUP Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007789

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

MARIE

Last Name

SOUKUP

Business Name

MICHELLE MARIE SOUKUP

Original Issue Date

06/09/2004

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

12/05/2007