STEPHANIE CHRISTINE BOUDREAUX Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004888

License Status

EXPIRED

Business

First Name

STEPHANIE

Middle

CHRISTINE

Last Name

BOUDREAUX

Business Name

STEPHANIE CHRISTINE BOUDREAUX

Original Issue Date

08/14/2018

Effective Date

08/14/2018

Expiration Date

08/14/2019

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/13/2020