JODY A BREKKE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000454

License Status

NOT RENEWED

Business

First Name

JODY A

Last Name

BREKKE

Business Name

JODY A BREKKE

Original Issue Date

03/02/1990

Effective Date

10/14/2003

Expiration Date

10/31/2005

City

NEW BERLIN

State

Zip

53151

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/22/2005