HOLLEY J SHEPARD Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146009734

License Status

NOT RENEWED

Business

First Name

HOLLEY

Middle

Last Name

SHEPARD

Business Name

HOLLEY J SHEPARD

Original Issue Date

04/13/2009

Effective Date

10/11/2011

Expiration Date

10/31/2013

City

ROSEBURG

State

Zip

97470

County

OREGON

Ever Disciplined

LastModifiedDate

12/10/2013