CARISSA LYNN THIELE Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146010746

License Status

INACTIVE

Business

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

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

08/03/2019