MAURA RUTH FREDRICK Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003992

License Status

EXPIRED

Business

First Name

MAURA

Middle

RUTH

Last Name

FREDRICK

Business Name

MAURA RUTH FREDRICK

Original Issue Date

07/07/2016

Effective Date

07/07/2016

Expiration Date

07/07/2017

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

09/19/2017