NICOLE M SMITH Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003439

License Status

EXPIRED

Business

First Name

NICOLE

Middle

Last Name

SMITH

Business Name

NICOLE M SMITH

Original Issue Date

06/03/2015

Effective Date

06/03/2015

Expiration Date

06/03/2016

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/16/2016