SANDRA L PETERSEN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146002406

License Status

NOT RENEWED

Business

First Name

SANDRA L

Last Name

PETERSEN

Business Name

SANDRA L PETERSEN

Original Issue Date

09/02/1989

Effective Date

10/26/2017

Expiration Date

10/31/2019

City

ONEONTA

State

Zip

13820

County

COOK

Ever Disciplined

LastModifiedDate

01/23/2020