STACEY MARIE MARTIN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001933

License Status

EXPIRED

Business

First Name

STACEY

Middle

MARIE

Last Name

MARTIN

Business Name

STACEY MARIE MARTIN

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

07/01/2012

City

PLAINFIELD

State

Zip

60544

Ever Disciplined

LastModifiedDate

08/29/2012