NICOLE R DEBRUYNE Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004756

License Status

EXPIRED

Business

First Name

NICOLE

Middle

Last Name

DEBRUYNE

Business Name

NICOLE R DEBRUYNE

Original Issue Date

01/05/2018

Effective Date

01/05/2018

Expiration Date

01/05/2019

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2019