SHELLEY M WILLIS Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001017

License Status

INACTIVE

Business

First Name

SHELLEY

Middle

Last Name

WILLIS

Business Name

SHELLEY M WILLIS

Original Issue Date

04/08/2002

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

CEDARBURG

State

Zip

53012

Ever Disciplined

LastModifiedDate

08/05/2009