PATRICIA CONNOLLY BOERSMA Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007704

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

CONNOLLY

Last Name

BOERSMA

Business Name

PATRICIA CONNOLLY BOERSMA

Original Issue Date

02/26/2004

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

MADISON

State

Zip

53719

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/05/2007