SHROUK HOSSAM ELDIN OMAR Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146013542

License Status

NOT RENEWED

Business

First Name

SHROUK

Middle

HOSSAM ELDIN

Last Name

OMAR

Business Name

SHROUK HOSSAM ELDIN OMAR

Original Issue Date

10/28/2016

Effective Date

10/31/2017

Expiration Date

10/31/2019

City

STATEN ISLAND

State

Zip

10303

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/23/2020