STEPHANIE L M DEPA Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146006603

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

L M

Last Name

DEPA

Business Name

STEPHANIE L M DEPA

Original Issue Date

04/09/2001

Effective Date

11/05/2003

Expiration Date

10/31/2005

City

GEORGETOWN

State

Zip

40324

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/09/2005