License holder summary

BLAKE MIRANDA MARIE is a Speech Language Pathology & Audiology - Licensees licensed to practice in California. The address on file for BLAKE MIRANDA MARIE is SAN DIEGO. This licensed professional license is not current. The license was granted 03/15/2004 and expired on 04/30/2009.

California

Department of Consumer Affairs

BLAKE MIRANDA MARIE
Speech Language Pathology & Audiology - Licensees
License number
13904
Date granted
03/15/2004
Date expires
04/30/2009
Class
Speech Language Pathology & Audiology - Licensees
Status
Canceled
Address
SAN DIEGO
californialicensing.org
ID 30980032
LAST UPDATED 2024-02-21 23:46:54 UTC

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