HEIDI LYNN SOUTHARD Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004491

License Status

NOT RENEWED

Business

First Name

HEIDI LYNN

Last Name

SOUTHARD

Business Name

HEIDI LYNN SOUTHARD

Original Issue Date

11/17/1994

Effective Date

03/01/2004

Expiration Date

10/31/2005

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2005