CARISSA LYNN THIELE - Speech-Language Pathologist License in Illinois | # 146010746

CARISSA LYNN THIELE

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146010746

License Status

INACTIVE

Business

N

First Name

CARISSA

Middle

LYNN

Last Name

THIELE

Business Name

CARISSA LYNN THIELE

Original Issue Date

06/21/2011

Effective Date

09/07/2017

Expiration Date

10/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

08/03/2019