GARY M JACOBS Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000190

License Status

NOT RENEWED

Business

First Name

GARY M

Last Name

JACOBS

Business Name

GARY M JACOBS

Original Issue Date

07/11/1989

Effective Date

08/16/2017

Expiration Date

10/31/2019

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/23/2020