LAUREN TRACY LICAUSI Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002485

License Status

EXPIRED

Business

First Name

LAUREN

Middle

TRACY

Last Name

LICAUSI

Business Name

LAUREN TRACY LICAUSI

Original Issue Date

09/18/2012

Effective Date

09/18/2012

Expiration Date

09/18/2013

City

CALEDONIA

State

Zip

61011

County

BOONE

Ever Disciplined

LastModifiedDate

11/27/2013