LAURIE MARIE NISS Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000863

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

MARIE

Last Name

NISS

Business Name

LAURIE MARIE NISS

Original Issue Date

06/24/1998

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005