CONSTANCE A BOURLAND Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146000861

License Status

INACTIVE

Business

First Name

CONSTANCE A

Last Name

BOURLAND

Business Name

CONSTANCE A BOURLAND

Original Issue Date

06/13/1989

Effective Date

10/29/2021

Expiration Date

10/31/2023

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/09/2023