LISA M MOON Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146006429

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

MOON

Business Name

LISA M MOON

Original Issue Date

09/07/2000

Effective Date

11/03/2003

Expiration Date

10/31/2005

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/09/2005