MARY W MANTILLA Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146003095

License Status

NOT RENEWED

Business

First Name

MARY W

Last Name

MANTILLA

Business Name

MARY W MANTILLA

Original Issue Date

09/26/1989

Effective Date

10/21/2015

Expiration Date

10/31/2017

City

IVANHOE

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

01/04/2018