SUSAN TANDY DICKENSON Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001195

License Status

INACTIVE

Business

First Name

SUSAN

Middle

TANDY

Last Name

DICKENSON

Business Name

SUSAN TANDY DICKENSON

Original Issue Date

05/17/2006

Effective Date

11/13/2019

Expiration Date

01/31/2022

City

EVERGREEN

State

Zip

80439

Ever Disciplined

LastModifiedDate

10/13/2021