JUANITA R SMITH Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004123

License Status

NOT RENEWED

Business

First Name

JUANITA

Middle

Last Name

SMITH

Business Name

JUANITA R SMITH

Original Issue Date

05/29/1993

Effective Date

11/01/2019

Expiration Date

01/31/2022

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/18/2022