MICHELLE DENISE SHAN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003934

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

DENISE

Last Name

SHAN

Business Name

MICHELLE DENISE SHAN

Original Issue Date

07/01/2016

Effective Date

06/22/2017

Expiration Date

06/22/2018

City

APEX

State

Zip

27502

Ever Disciplined

LastModifiedDate

10/25/2018