MARLENE B PROVANCE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146001642

License Status

NOT RENEWED

Business

First Name

MARLENE B

Last Name

PROVANCE

Business Name

MARLENE B PROVANCE

Original Issue Date

07/19/1989

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005