MIKAELY TACE ANDERSON Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007855

License Status

INACTIVE

Business

First Name

MIKAELY

Middle

TACE

Last Name

ANDERSON

Business Name

MIKAELY TACE ANDERSON

Original Issue Date

07/30/2004

Effective Date

07/30/2004

Expiration Date

10/31/2005

City

MILWAUKEE

State

Zip

53215

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/09/2005