DIANE M RUSS Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000064

License Status

INACTIVE

Business

First Name

DIANE M

Last Name

RUSS

Business Name

DIANE M RUSS

Original Issue Date

05/05/1989

Effective Date

10/14/2003

Expiration Date

10/31/2005

City

HARTSDALE

State

Zip

10530

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/09/2005