BASHA ONTIVEROS - Speech-Language Pathologist License in Illinois | # 146007682

BASHA ONTIVEROS

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007682

License Status

NOT RENEWED

Business

N

First Name

BASHA

Last Name

ONTIVEROS

Business Name

BASHA ONTIVEROS

Original Issue Date

02/03/2004

Effective Date

01/19/2022

Expiration Date

10/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2024