JACKIE LYNN THOMPSON Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000801

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

LYNN

Last Name

THOMPSON

Business Name

JACKIE LYNN THOMPSON

Original Issue Date

03/17/1997

Effective Date

10/18/2017

Expiration Date

10/31/2019

City

UTICA

State

Zip

61373

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/23/2020