MAURA RUTH FREDRICK Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146014031

License Status

NOT RENEWED

Business

First Name

MAURA

Middle

RUTH

Last Name

FREDRICK

Business Name

MAURA RUTH FREDRICK

Original Issue Date

09/08/2017

Effective Date

10/15/2019

Expiration Date

01/31/2022

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/18/2022