STACY LYNNE PETTINGER Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146006059

License Status

INACTIVE

Business

First Name

STACY

Middle

LYNNE

Last Name

PETTINGER

Business Name

STACY LYNNE PETTINGER

Original Issue Date

08/03/1999

Effective Date

10/25/2011

Expiration Date

10/31/2013

City

APPLETON

State

Zip

54913

Ever Disciplined

LastModifiedDate

08/07/2013