LISA MARIE MASSANISSO Speech-Language Pathologist License verification

Business Entity

CANCELLED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002570

License Status

CANCELLED

Business

First Name

LISA

Middle

MARIE

Last Name

MASSANISSO

Business Name

LISA MARIE MASSANISSO

Original Issue Date

01/18/2013

Effective Date

11/04/2013

Expiration Date

11/04/2014

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/13/2015