BROOKE ELIZABETH FALLON Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001713

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

ELIZABETH

Last Name

FALLON

Business Name

BROOKE ELIZABETH FALLON

Original Issue Date

06/20/2019

Effective Date

09/25/2019

Expiration Date

01/31/2022

City

MACOMB

State

Zip

48044

Ever Disciplined

LastModifiedDate

05/18/2022