Indiana
Professional Licensing Agency
Michelle Rose Banta
Speech Language Pathology & Audio Board - Clinical Fellowship Year
License number
46002400A
Date granted
10/19/2012
Date expires
04/19/2014
Class
Speech Language Pathology & Audio Board - Clinical Fellowship Year
Status
Superceded
Address
Franklin IN 46131
indianalicensing.org
ID 8623768
LAST UPDATED 2024-02-09 10:34:15 UTC
LAST UPDATED 2024-02-09 10:34:15 UTC
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