TERRY R FAITH Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004010

License Status

INACTIVE

Business

First Name

TERRY R

Last Name

FAITH

Business Name

TERRY R FAITH

Original Issue Date

12/23/1992

Effective Date

11/05/2003

Expiration Date

10/31/2005

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/09/2005