REGINA WIESE Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146003047

License Status

INACTIVE

Business

First Name

REGINA

Last Name

WIESE

Business Name

REGINA WIESE

Original Issue Date

09/21/1989

Effective Date

09/25/2001

Expiration Date

10/31/2001

City

BALLWIN

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005