KELLY LYNN WACKER Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001173

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LYNN

Last Name

WACKER

Business Name

KELLY LYNN WACKER

Original Issue Date

09/01/2005

Effective Date

09/01/2005

Expiration Date

10/31/2007

City

OMAHA

State

Zip

68164

County

DOUGLAS

Ever Disciplined

LastModifiedDate

12/05/2007