AYESHA KALISSA SALAHUDDIN Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007106

License Status

INACTIVE

Business

First Name

AYESHA

Middle

KALISSA

Last Name

SALAHUDDIN

Business Name

AYESHA KALISSA SALAHUDDIN

Original Issue Date

07/03/2002

Effective Date

10/16/2003

Expiration Date

10/31/2005

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/09/2005