SALLY A LOCK Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146000554

License Status

NOT RENEWED

Business

First Name

SALLY A

Last Name

LOCK

Business Name

SALLY A LOCK

Original Issue Date

05/12/1989

Effective Date

10/12/2017

Expiration Date

10/31/2019

City

AVON

State

Zip

61415

County

FULTON

Ever Disciplined

LastModifiedDate

01/23/2020