MELISSA M CLARK Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000064

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

CLARK

Business Name

MELISSA M CLARK

Original Issue Date

10/31/2005

Effective Date

10/31/2005

Expiration Date

10/31/2006

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/03/2006