CONNIE SUSAN MOORE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146008730

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

SUSAN

Last Name

MOORE

Business Name

CONNIE SUSAN MOORE

Original Issue Date

09/28/2006

Effective Date

01/15/2022

Expiration Date

10/31/2023

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

03/28/2024