LAURA MICHELLE GUSTAFSON Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000134

License Status

EXPIRED

Business

First Name

LAURA

Middle

MICHELLE

Last Name

GUSTAFSON

Business Name

LAURA MICHELLE GUSTAFSON

Original Issue Date

03/03/2006

Effective Date

03/03/2006

Expiration Date

03/03/2007

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/14/2007