SUSAN L GREEN Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004974

License Status

INACTIVE

Business

First Name

SUSAN L

Last Name

GREEN

Business Name

SUSAN L GREEN

Original Issue Date

07/18/1996

Effective Date

10/31/2001

Expiration Date

10/31/2001

City

VINCENNES

State

Zip

47591

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005