TERESA IVA DOUGLAS Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000822

License Status

EXPIRED

Business

First Name

TERESA

Middle

IVA

Last Name

DOUGLAS

Business Name

TERESA IVA DOUGLAS

Original Issue Date

06/13/2008

Effective Date

06/13/2008

Expiration Date

06/13/2009

City

MENDON

State

Zip

62351

County

ADAMS

Ever Disciplined

LastModifiedDate

06/17/2009