MICA J INGRAM Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001032

License Status

INACTIVE

Business

First Name

MICA

Middle

Last Name

INGRAM

Business Name

MICA J INGRAM

Original Issue Date

06/05/2002

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

LAKE DALLAS

State

Zip

75065

County

TEXAS

Ever Disciplined

LastModifiedDate

08/05/2009