CAROLINE MARIE MALLOW Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006047

License Status

EXPIRED

Business

First Name

CAROLINE

Middle

MARIE

Last Name

MALLOW

Business Name

CAROLINE MARIE MALLOW

Original Issue Date

07/30/2020

Effective Date

07/30/2020

Expiration Date

01/30/2022

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/18/2022