TARA R MOEN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001175

License Status

EXPIRED

Business

First Name

TARA

Middle

Last Name

MOEN

Business Name

TARA R MOEN

Original Issue Date

06/10/2009

Effective Date

06/10/2009

Expiration Date

06/10/2010

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

06/24/2010