JEFFREY MARK MEDEMA JR Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001381

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

MARK

Last Name

MEDEMA

Suffix

Business Name

JEFFREY MARK MEDEMA JR

Original Issue Date

09/08/2009

Effective Date

09/08/2009

Expiration Date

09/08/2010

City

BLACKSTONE

State

Zip

61313

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/13/2010