ZACHARY PAUL JACOB MEDEMA - Speech-Language Pathologist License in Illinois | # 242001599

ZACHARY PAUL JACOB MEDEMA

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001599

License Status

EXPIRED

Business

N

First Name

ZACHARY PAUL

Middle

JACOB

Last Name

MEDEMA

Business Name

ZACHARY PAUL JACOB MEDEMA

Original Issue Date

07/02/2010

Effective Date

07/02/2010

Expiration Date

07/02/2011

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2011