TARA JOANNE ANDERSON Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001170

License Status

INACTIVE

Business

First Name

TARA

Middle

JOANNE

Last Name

ANDERSON

Business Name

TARA JOANNE ANDERSON

Original Issue Date

08/02/2005

Effective Date

08/02/2005

Expiration Date

10/31/2007

City

SAINT LOUIS

State

Zip

63119

Ever Disciplined

LastModifiedDate

08/07/2007