MELISSA DAWN BASTIDA Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001735

License Status

EXPIRED

Business

First Name

MELISSA

Middle

DAWN

Last Name

BASTIDA

Business Name

MELISSA DAWN BASTIDA

Original Issue Date

09/28/2010

Effective Date

09/28/2010

Expiration Date

09/28/2011

City

MONTGOMERY

State

Zip

60538

Ever Disciplined

LastModifiedDate

11/17/2011