MICHAEL GREGORY CONGORAN JR Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003824

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

GREGORY

Last Name

CONGORAN

Suffix

Business Name

MICHAEL GREGORY CONGORAN JR

Original Issue Date

09/28/2015

Effective Date

09/28/2015

Expiration Date

09/28/2016

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/09/2017