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 2024-03-12 18:13:26 UTC
LAST UPDATED 2024-03-12 18:13:26 UTC
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