BREANNE NICOLE BOCKWOLDT Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003680

License Status

NOT RENEWED

Business

First Name

BREANNE

Middle

NICOLE

Last Name

BOCKWOLDT

Business Name

BREANNE NICOLE BOCKWOLDT

Original Issue Date

08/05/2015

Effective Date

08/05/2015

Expiration Date

08/05/2016

City

CHICAGO

State

Zip

60622

County

WILL

Ever Disciplined

LastModifiedDate

03/09/2017