LYDIA P MOULTON Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004118

License Status

EXPIRED

Business

First Name

LYDIA

Middle

Last Name

MOULTON

Prefix

Business Name

LYDIA P MOULTON

Original Issue Date

07/20/2016

Effective Date

07/20/2016

Expiration Date

07/20/2017

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/19/2017