JENNIFER DIANE BAUER Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006557

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

DIANE

Last Name

BAUER

Business Name

JENNIFER DIANE BAUER

Original Issue Date

08/12/2021

Effective Date

08/12/2021

Expiration Date

02/12/2023

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/28/2024