MECKENZIE C HORBERG Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002088

License Status

EXPIRED

Business

First Name

MECKENZIE

Middle

Last Name

HORBERG

Business Name

MECKENZIE C HORBERG

Original Issue Date

09/02/2011

Effective Date

09/02/2011

Expiration Date

09/02/2012

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/11/2012