MITZI SMITH WILSON Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146006199

License Status

NOT RENEWED

Business

First Name

MITZI

Middle

SMITH

Last Name

WILSON

Business Name

MITZI SMITH WILSON

Original Issue Date

01/21/2000

Effective Date

10/14/2003

Expiration Date

10/31/2005

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

12/22/2005