MARIA IDICULA MODAYIL Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146010077

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

IDICULA

Last Name

MODAYIL

Business Name

MARIA IDICULA MODAYIL

Original Issue Date

11/06/2009

Effective Date

11/06/2009

Expiration Date

10/31/2011

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/07/2011