ERIN CLARE GUSTAFSON Speech-Language Pathologist License verification

Business Entity

CANCELLED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002915

License Status

CANCELLED

Business

First Name

ERIN

Middle

CLARE

Last Name

GUSTAFSON

Business Name

ERIN CLARE GUSTAFSON

Original Issue Date

10/09/2013

Effective Date

10/09/2013

Expiration Date

10/09/2014

City

ROCKFORD

State

Zip

61107

County

BOONE

Ever Disciplined

LastModifiedDate

03/13/2015