LISA G CLARK Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH-LANGUAGE PATHOLOGY ASSISTANT

License Number

217000220

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

CLARK

Business Name

LISA G CLARK

Original Issue Date

06/23/2009

Effective Date

08/05/2009

Expiration Date

10/31/2011

City

MATTOON

State

Zip

61938

Ever Disciplined

LastModifiedDate

12/07/2011