BROOKE ELIZABETH TATE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005094

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

ELIZABETH

Last Name

TATE

Business Name

BROOKE ELIZABETH TATE

Original Issue Date

09/04/2018

Effective Date

09/04/2018

Expiration Date

03/04/2020

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/19/2020