JACQUELINE HELEN FAIRBANKS Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003277

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

HELEN

Last Name

FAIRBANKS

Business Name

JACQUELINE HELEN FAIRBANKS

Original Issue Date

09/02/2014

Effective Date

09/02/2014

Expiration Date

09/02/2015

City

KILDEER

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

01/07/2016