AUGUSTA ANNE SUSA Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007878

License Status

NOT RENEWED

Business

First Name

AUGUSTA

Middle

ANNE

Last Name

SUSA

Business Name

AUGUSTA ANNE SUSA

Original Issue Date

08/13/2004

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2009