CIENNA MICHELLE BLUM Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005645

License Status

NOT RENEWED

Business

First Name

CIENNA

Middle

MICHELLE

Last Name

BLUM

Business Name

CIENNA MICHELLE BLUM

Original Issue Date

09/18/2019

Effective Date

09/18/2019

Expiration Date

03/18/2021

City

BROWN DEER

State

Zip

53223

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/20/2021