JODIE MARIE HAVENS Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001674

License Status

EXPIRED

Business

First Name

JODIE

Middle

MARIE

Last Name

HAVENS

Business Name

JODIE MARIE HAVENS

Original Issue Date

08/17/2010

Effective Date

08/17/2010

Expiration Date

08/17/2011

City

SHELDON

State

Zip

60966

County

IROQUOIS

Ever Disciplined

LastModifiedDate

09/30/2011