JACQUELINE MARIE TISH Speech-Language Pathologist License verification

Business Entity

CANCELLED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002736

License Status

CANCELLED

Business

First Name

JACQUELINE

Middle

MARIE

Last Name

TISH

Business Name

JACQUELINE MARIE TISH

Original Issue Date

07/16/2013

Effective Date

07/16/2013

Expiration Date

07/16/2014

City

WHITE HEATH

State

Zip

61884

Ever Disciplined

LastModifiedDate

03/13/2015