JAN A MOORE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000418

License Status

NOT RENEWED

Business

First Name

JAN A

Last Name

MOORE

Business Name

JAN A MOORE

Original Issue Date

10/07/1989

Expiration Date

10/31/1993

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/28/2005