STACI LEA DIRKS Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242001976

License Status

EXPIRED

Business

First Name

STACI

Middle

LEA

Last Name

DIRKS

Business Name

STACI LEA DIRKS

Original Issue Date

07/19/2011

Effective Date

07/19/2011

Expiration Date

07/19/2012

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

08/29/2012