ANGELA SUZANNE SHAW Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146009130

License Status

INACTIVE

Business

First Name

ANGELA

Middle

SUZANNE

Last Name

SHAW

Business Name

ANGELA SUZANNE SHAW

Original Issue Date

08/23/2007

Effective Date

10/07/2009

Expiration Date

10/31/2011

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

08/03/2011