LISA G CLARK Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002367

License Status

EXPIRED

Business

First Name

LISA

Middle

Last Name

CLARK

Business Name

LISA G CLARK

Original Issue Date

07/25/2012

Effective Date

07/25/2012

Expiration Date

07/25/2013

City

MATTOON

State

Zip

61938

Ever Disciplined

LastModifiedDate

11/27/2013