CAROLYN ELIZABETH MOORE Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001711

License Status

EXPIRED

Business

First Name

CAROLYN

Middle

ELIZABETH

Last Name

MOORE

Business Name

CAROLYN ELIZABETH MOORE

Original Issue Date

08/30/2010

Effective Date

08/30/2010

Expiration Date

08/30/2011

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/30/2011