TERRY M KLOCK Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007637

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

KLOCK

Business Name

TERRY M KLOCK

Original Issue Date

12/05/2003

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

SCOTIA

State

Zip

12302

County

NEW YORK

Ever Disciplined

LastModifiedDate

12/05/2007