TERESA JEANNETTE DOHERTY Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005347

License Status

EXPIRED

Business

First Name

TERESA

Middle

JEANNETTE

Last Name

DOHERTY

Business Name

TERESA JEANNETTE DOHERTY

Original Issue Date

06/07/2019

Effective Date

06/07/2019

Expiration Date

12/07/2020

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/11/2021