SANDRA L BROADDUS - Speech-Language Pathologist License in Illinois | # 147000688

SANDRA L BROADDUS

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000688

License Status

NOT RENEWED

Business

N

First Name

SANDRA

Middle

L

Last Name

BROADDUS

Business Name

SANDRA L BROADDUS

Original Issue Date

09/17/1994

Effective Date

12/11/2007

Expiration Date

10/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

12/09/2009