STACY M SULLIVAN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000078

License Status

EXPIRED

Business

First Name

STACY

Middle

Last Name

SULLIVAN

Business Name

STACY M SULLIVAN

Original Issue Date

11/22/2005

Effective Date

11/22/2005

Expiration Date

11/22/2006

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

01/26/2007