MARY L ELLIS Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004407

License Status

INACTIVE

Business

First Name

MARY L

Last Name

ELLIS

Business Name

MARY L ELLIS

Original Issue Date

07/13/1994

Effective Date

10/22/2021

Expiration Date

10/31/2023

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/28/2023