CARISSA ANJULI HALLAM Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146009789

License Status

INACTIVE

Business

First Name

CARISSA

Middle

ANJULI

Last Name

HALLAM

Business Name

CARISSA ANJULI HALLAM

Original Issue Date

06/02/2009

Effective Date

08/25/2015

Expiration Date

10/31/2017

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

08/03/2017