MISTY LYNNE SMIDT Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146012853

License Status

INACTIVE

Business

First Name

MISTY

Middle

LYNNE

Last Name

SMIDT

Business Name

MISTY LYNNE SMIDT

Original Issue Date

07/27/2015

Effective Date

10/31/2019

Expiration Date

01/31/2022

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

02/01/2022