MALLORY JO BAGAGLIO Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001883

License Status

EXPIRED

Business

First Name

MALLORY

Middle

Last Name

BAGAGLIO

Business Name

MALLORY JO BAGAGLIO

Original Issue Date

06/10/2011

Effective Date

06/10/2011

Expiration Date

06/10/2012

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

08/29/2012