STEPHANIE RACHEL PESA Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001364

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

RACHEL

Last Name

PESA

Business Name

STEPHANIE RACHEL PESA

Original Issue Date

08/18/2010

Effective Date

10/05/2015

Expiration Date

10/31/2017

City

LAKE OSWEGO

State

Zip

97035

County

OREGON

Ever Disciplined

LastModifiedDate

01/04/2018