CHRISTINE MARIE LONG Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001264

License Status

INACTIVE

Business

First Name

CHRISTINE

Middle

MARIE

Last Name

LONG

Business Name

CHRISTINE MARIE LONG

Original Issue Date

11/27/2007

Effective Date

10/19/2009

Expiration Date

10/31/2011

City

BEACH PARK

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

08/03/2011