STACEY L ELLISON GLASGOW Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004097

License Status

INACTIVE

Business

First Name

STACEY L

Middle

ELLISON

Last Name

GLASGOW

Business Name

STACEY L ELLISON GLASGOW

Original Issue Date

04/21/1993

Effective Date

04/21/1993

Expiration Date

10/31/1999

City

BALDWIN

State

Zip

54002

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/26/2015