AMANDA RAE MARTIN Speech-Language Pathologist License verification

Business Entity

CANCELLED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002817

License Status

CANCELLED

Business

First Name

AMANDA

Middle

RAE

Last Name

MARTIN

Business Name

AMANDA RAE MARTIN

Original Issue Date

07/30/2013

Effective Date

07/30/2013

Expiration Date

07/30/2014

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/13/2015