License holder summary

Lisa Maria Moon is a Speech Language Pathologist Support Personnel licensed to practice in Indiana. The address on file for Lisa Maria Moon is Fort Wayne IN 46815-4725. This licensed professional license is not current. The license was granted 07/20/1999 and expired on 12/31/2000.

Indiana

Professional Licensing Agency

Lisa Maria Moon
Speech Language Pathologist Support Personnel
License number
29000999A
Date granted
07/20/1999
Date expires
12/31/2000
Class
Speech Language Pathologist Support Personnel
Status
Expired
Address
Fort Wayne IN 46815-4725
indianalicensing.org
ID 8625616
LAST UPDATED 2024-04-25 19:56:05 UTC

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