MARY L FAFARA Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001054

License Status

EXPIRED

Business

First Name

MARY L

Last Name

FAFARA

Business Name

MARY L FAFARA

Original Issue Date

10/07/2008

Effective Date

10/07/2008

Expiration Date

10/07/2009

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/14/2009