KATHERINE FAYE MOORE Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003915

License Status

EXPIRED

Business

First Name

KATHERINE

Middle

FAYE

Last Name

MOORE

Business Name

KATHERINE FAYE MOORE

Original Issue Date

06/21/2016

Effective Date

06/21/2016

Expiration Date

06/21/2017

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

09/19/2017