NICOLE ANN WILTZ Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000315

License Status

EXPIRED

Business

First Name

NICOLE

Middle

ANN

Last Name

WILTZ

Business Name

NICOLE ANN WILTZ

Original Issue Date

08/22/2006

Effective Date

08/22/2006

Expiration Date

08/22/2007

City

BLOOMINGTON

State

Zip

61701

Ever Disciplined

LastModifiedDate

08/29/2007