NICHOLE RENAE GOMEZ Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004356

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

RENAE

Last Name

GOMEZ

Business Name

NICHOLE RENAE GOMEZ

Original Issue Date

06/15/2017

Effective Date

06/15/2017

Expiration Date

06/15/2018

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/25/2018