MARIAH C FAIVRE Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000147

License Status

EXPIRED

Business

First Name

MARIAH

Middle

Last Name

FAIVRE

Business Name

MARIAH C FAIVRE

Original Issue Date

04/06/2006

Effective Date

04/06/2006

Expiration Date

04/06/2007

City

EDELSTEIN

State

Zip

61526

County

PEORIA

Ever Disciplined

LastModifiedDate

04/19/2007