ZACHARY PAUL JACOB MEDEMA Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001599

License Status

EXPIRED

Business

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

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

07/19/2011