MARISSA N GROOM Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004398

License Status

EXPIRED

Business

First Name

MARISSA

Middle

Last Name

GROOM

Business Name

MARISSA N GROOM

Original Issue Date

07/19/2017

Effective Date

07/19/2017

Expiration Date

07/19/2018

City

EVANSTON

State

Zip

60202

Ever Disciplined

LastModifiedDate

12/04/2018