BETH ANN BONGARD Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000019

License Status

NOT RENEWED

Business

First Name

BETH

Middle

ANN

Last Name

BONGARD

Business Name

BETH ANN BONGARD

Original Issue Date

09/27/2005

Effective Date

09/27/2005

Expiration Date

09/27/2006

City

GRAFTON

State

Zip

53024

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/03/2006