JOHN A BODEM Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000007

License Status

INACTIVE

Business

First Name

JOHN A

Last Name

BODEM

Business Name

JOHN A BODEM

Original Issue Date

03/07/1989

Effective Date

09/23/2003

Expiration Date

10/31/2005

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/09/2005