SUSAN SHORT Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004286

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

SHORT

Business Name

SUSAN SHORT

Original Issue Date

01/13/1994

Effective Date

08/12/2013

Expiration Date

10/31/2015

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

12/09/2015