ALISSA BLAIR FLOM Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005301

License Status

EXPIRED

Business

First Name

ALISSA

Middle

BLAIR

Last Name

FLOM

Business Name

ALISSA BLAIR FLOM

Original Issue Date

06/03/2019

Effective Date

06/03/2019

Expiration Date

12/03/2020

City

PLYMOUTH

State

Zip

55442

County

MINNESOTA

Ever Disciplined

LastModifiedDate

03/11/2021