NICHOLE FIELDS Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146010878

License Status

NOT RENEWED

Business

First Name

NICHOLE

Last Name

FIELDS

Business Name

NICHOLE FIELDS

Original Issue Date

08/24/2011

Effective Date

05/22/2018

Expiration Date

10/31/2019

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

01/23/2020