JORDAN CARLY JANE PETERSON Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242000083

License Status

EXPIRED

Business

First Name

JORDAN

Middle

CARLY JANE

Last Name

PETERSON

Business Name

JORDAN CARLY JANE PETERSON

Original Issue Date

12/02/2005

Effective Date

12/02/2005

Expiration Date

12/02/2006

City

MILWAUKEE

State

Zip

53213

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/26/2007