MARIA IDICULA MODAYIL Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001096

License Status

EXPIRED

Business

First Name

MARIA

Middle

IDICULA

Last Name

MODAYIL

Business Name

MARIA IDICULA MODAYIL

Original Issue Date

01/15/2009

Effective Date

01/15/2009

Expiration Date

01/15/2010

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/03/2010