STACY IRENE DEJONG Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003320

License Status

NOT RENEWED

Business

First Name

STACY

Middle

IRENE

Last Name

DEJONG

Business Name

STACY IRENE DEJONG

Original Issue Date

09/26/2014

Effective Date

09/26/2014

Expiration Date

09/26/2015

City

HIGHLAND

State

Zip

46322

County

LAKE

Ever Disciplined

LastModifiedDate

01/07/2016