SHANNON MARIE WALLER Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007416

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

MARIE

Last Name

WALLER

Business Name

SHANNON MARIE WALLER

Original Issue Date

04/25/2003

Effective Date

10/24/2011

Expiration Date

10/31/2013

City

ADA

State

Zip

49301

County

MICHIGAN

Ever Disciplined

LastModifiedDate

12/10/2013