SALLY F ETZENBACH - Speech-Language Pathologist License in Illinois | # 242003693

SALLY F ETZENBACH

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003693

License Status

NOT RENEWED

Business

N

First Name

SALLY

Middle

F

Last Name

ETZENBACH

Business Name

SALLY F ETZENBACH

Original Issue Date

08/10/2015

Effective Date

08/10/2015

Expiration Date

08/10/2016

State

IL

Ever Disciplined

N

LastModifiedDate

03/09/2017