LISA PEDERSON Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000028

License Status

NOT RENEWED

Business

First Name

LISA

Last Name

PEDERSON

Business Name

LISA PEDERSON

Original Issue Date

09/29/2005

Effective Date

09/29/2005

Expiration Date

09/29/2006

City

GREEN BAY

State

Zip

54311

Ever Disciplined

LastModifiedDate

11/03/2006