SARA LOIS BLACK Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002518

License Status

EXPIRED

Business

First Name

SARA

Middle

LOIS

Last Name

BLACK

Business Name

SARA LOIS BLACK

Original Issue Date

10/04/2012

Effective Date

10/04/2012

Expiration Date

10/04/2013

City

OMAHA

State

Zip

68135

County

NEBRASKA

Ever Disciplined

LastModifiedDate

11/27/2013