ASHLEY MILDRED VANFOSSEN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001905

License Status

EXPIRED

Business

First Name

ASHLEY

Middle

MILDRED

Last Name

VANFOSSEN

Business Name

ASHLEY MILDRED VANFOSSEN

Original Issue Date

06/17/2011

Effective Date

06/17/2011

Expiration Date

06/17/2012

City

METAMORA

State

Zip

61548

Ever Disciplined

LastModifiedDate

08/29/2012