STACEY L EGAN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000516

License Status

EXPIRED

Business

First Name

STACEY

Middle

Last Name

EGAN

Business Name

STACEY L EGAN

Original Issue Date

06/12/2007

Effective Date

06/12/2007

Expiration Date

06/12/2008

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

06/26/2008