COLLEEN E ANTCZAK Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003348

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

Last Name

ANTCZAK

Business Name

COLLEEN E ANTCZAK

Original Issue Date

10/08/2014

Effective Date

10/08/2014

Expiration Date

10/08/2015

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

01/07/2016