LISA MARIE MASSANISSO - Speech-Language Pathologist License in Illinois | # 242002570

LISA MARIE MASSANISSO

Business Entity

CANCELLED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002570

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/13/2015