VICKIE L RUSSELL Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004148

License Status

INACTIVE

Business

First Name

VICKIE

Middle

Last Name

RUSSELL

Business Name

VICKIE L RUSSELL

Original Issue Date

06/24/1993

Effective Date

03/04/2004

Expiration Date

10/31/2005

City

GREENVILLE

State

Zip

29615

Ever Disciplined

LastModifiedDate

09/09/2005