MELISSA MARIE BLAUM Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000142

License Status

EXPIRED

Business

First Name

MELISSA

Middle

MARIE

Last Name

BLAUM

Business Name

MELISSA MARIE BLAUM

Original Issue Date

03/20/2006

Effective Date

03/20/2006

Expiration Date

03/20/2007

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/04/2007