DIANA NICOLE MARTIN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146010179

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

NICOLE

Last Name

MARTIN

Business Name

DIANA NICOLE MARTIN

Original Issue Date

04/16/2010

Effective Date

08/18/2011

Expiration Date

10/31/2013

City

TABLE GROVE

State

Zip

61482

County

FULTON

Ever Disciplined

LastModifiedDate

12/10/2013