MICHAEL R LARSON Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000231

License Status

NOT RENEWED

Business

First Name

MICHAEL R

Last Name

LARSON

Business Name

MICHAEL R LARSON

Original Issue Date

08/01/1989

Effective Date

09/11/2013

Expiration Date

10/31/2015

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/09/2015