HEIDI C BOURG - Speech-Language Pathologist License in Illinois | # 147001002

HEIDI C BOURG

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001002

License Status

NOT RENEWED

Business

N

First Name

HEIDI

Middle

C

Last Name

BOURG

Business Name

HEIDI C BOURG

Original Issue Date

08/31/2001

Effective Date

12/10/2003

Expiration Date

10/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005