ANGELA J POULSEN Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005384

License Status

INACTIVE

Business

First Name

ANGELA J

Last Name

POULSEN

Business Name

ANGELA J POULSEN

Original Issue Date

10/24/1997

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

SUSSEX

State

Zip

53089

County

LAKE

Ever Disciplined

LastModifiedDate

08/07/2007