TONYA J BOOMGARDEN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001450

License Status

EXPIRED

Business

First Name

TONYA J

Last Name

BOOMGARDEN

Business Name

TONYA J BOOMGARDEN

Original Issue Date

01/08/2010

Effective Date

01/09/2011

Expiration Date

01/09/2012

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/18/2012