CATHERINE JEAN SMITH Speech-Language Pathologist License verification

Business Entity

CANCELLED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002690

License Status

CANCELLED

Business

First Name

CATHERINE

Middle

JEAN

Last Name

SMITH

Business Name

CATHERINE JEAN SMITH

Original Issue Date

07/05/2013

Effective Date

07/05/2013

Expiration Date

07/05/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/13/2015