TARA M SIEBEN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000762

License Status

EXPIRED

Business

First Name

TARA

Middle

Last Name

SIEBEN

Business Name

TARA M SIEBEN

Original Issue Date

02/04/2008

Effective Date

03/02/2009

Expiration Date

06/02/2009

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/03/2009