BETH ANN BONGARD Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146008587

License Status

NOT RENEWED

Business

First Name

BETH

Middle

ANN

Last Name

BONGARD

Business Name

BETH ANN BONGARD

Original Issue Date

06/07/2006

Effective Date

06/07/2006

Expiration Date

10/31/2007

City

GRAFTON

State

Zip

53024

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/05/2007