Jessica Provost
Speech Language Pathologist Non-Renewable Temporary License
New Jersey TL-1138 Voided
This New Jersey license was held by Jessica Provost. The license is no longer active. It was granted on 03/19/2004 and expired on 09/19/2005
LICENSE DETAILS
- License Number: TL-1138
- Category: SLP Non-Renewable Temp License
- Status: Voided
- Date Granted: 03/19/2004 (about 21 years ago)
- Expiry Date: 09/19/2005 (over 19 years ago)
LOCATIONS
A Address
South Orange NJ