CONNIE SUSAN MOORE Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000085

License Status

EXPIRED

Business

First Name

CONNIE

Middle

SUSAN

Last Name

MOORE

Business Name

CONNIE SUSAN MOORE

Original Issue Date

12/08/2005

Effective Date

12/08/2005

Expiration Date

12/08/2006

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

01/26/2007