DIANA NICOLE MARTIN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001224

License Status

EXPIRED

Business

First Name

DIANA

Middle

NICOLE

Last Name

MARTIN

Business Name

DIANA NICOLE MARTIN

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

07/01/2010

City

TABLE GROVE

State

Zip

61482

County

FULTON

Ever Disciplined

LastModifiedDate

07/08/2010