RACHEL M BOURGAULT Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005603

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

Last Name

BOURGAULT

Business Name

RACHEL M BOURGAULT

Original Issue Date

06/30/1998

Effective Date

08/29/2011

Expiration Date

10/31/2013

City

BANNER

State

Zip

82832

County

WYOMING

Ever Disciplined

LastModifiedDate

12/10/2013