SHIRA WALLIN Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146013561

License Status

INACTIVE

Business

First Name

SHIRA

Last Name

WALLIN

Business Name

SHIRA WALLIN

Original Issue Date

11/28/2016

Effective Date

11/28/2016

Expiration Date

10/31/2017

City

LAKEWOOD

State

Zip

08701

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

08/03/2017