AVALON MARCINIAK Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004759

License Status

EXPIRED

Business

First Name

AVALON

Last Name

MARCINIAK

Business Name

AVALON MARCINIAK

Original Issue Date

01/11/2018

Effective Date

01/11/2018

Expiration Date

01/11/2019

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

03/28/2019