MIRANDA J GULLBERG Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003105

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

Last Name

GULLBERG

Business Name

MIRANDA J GULLBERG

Original Issue Date

07/02/2014

Effective Date

07/02/2014

Expiration Date

07/02/2015

City

STRONGHURST

State

Zip

61480

County

HENDERSON

Ever Disciplined

LastModifiedDate

01/07/2016