License holder summary

Heather Lynn Balog is a Speech Pathologist licensed to practice in Indiana. The address on file for Heather Lynn Balog is Plymouth MI 48170. This licensed professional license is not current. The license was granted 12/21/1998 and expired on 12/31/2005.

Indiana

Professional Licensing Agency

Heather Lynn Balog
Speech Pathologist
License number
22003332A
Date granted
12/21/1998
Date expires
12/31/2005
Class
Speech Pathologist
Status
Expired
Address
Plymouth MI 48170
indianalicensing.org
ID 8631793
LAST UPDATED 2024-02-18 11:25:26 UTC

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