SUSAN EILEEN MACIS Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007179

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

EILEEN

Last Name

MACIS

Business Name

SUSAN EILEEN MACIS

Original Issue Date

08/07/2002

Effective Date

12/28/2015

Expiration Date

10/31/2017

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

01/04/2018