ANGELA SUZANNE SHAW Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000325

License Status

EXPIRED

Business

First Name

ANGELA

Middle

SUZANNE

Last Name

SHAW

Business Name

ANGELA SUZANNE SHAW

Original Issue Date

08/23/2006

Effective Date

08/23/2006

Expiration Date

08/23/2007

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

08/29/2007