KATHLEEN L WALLACE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000653

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

WALLACE

Business Name

KATHLEEN L WALLACE

Original Issue Date

12/17/1993

Expiration Date

10/31/1995

City

LA CROSSE

State

Zip

54601

Ever Disciplined

LastModifiedDate

07/28/2005