JEANNA RAOCHELLE ANTRIM Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001915

License Status

EXPIRED

Business

First Name

JEANNA

Middle

RAOCHELLE

Last Name

ANTRIM

Business Name

JEANNA RAOCHELLE ANTRIM

Original Issue Date

06/21/2011

Effective Date

06/21/2011

Expiration Date

06/21/2012

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

08/29/2012