License holder summary

Jessica Provost is a Speech Language Pathologist Non-Renewable Temporary License licensed to practice in New Jersey. The address on file for Jessica Provost is South Orange NJ. This licensed professional license is not current. The license was granted 03/19/2004 and expired on 09/19/2005.

New Jersey

Division of Consumer Affairs

Jessica Provost
Speech Language Pathologist Non-Renewable Temporary License
License number
TL-1138
Date granted
03/19/2004
Date expires
09/19/2005
Class
Speech Language Pathologist Non-Renewable Temporary License
Status
Voided
Address
South Orange NJ
licensingnj.com
ID 7954576
LAST UPDATED 2026-03-29 22:55:45 UTC

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