ELIZABETH LOUISE ELLEN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007866

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

LOUISE

Last Name

ELLEN

Business Name

ELIZABETH LOUISE ELLEN

Original Issue Date

08/09/2004

Effective Date

10/30/2015

Expiration Date

10/31/2017

City

PEORIA HEIGHTS

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/04/2018