ANDREA JEAN DAVIS Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146008017

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

JEAN

Last Name

DAVIS

Business Name

ANDREA JEAN DAVIS

Original Issue Date

12/01/2004

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/05/2007