AUGUSTA ANNE SUSA - Speech-Language Pathologist License in Illinois | # 146007878

AUGUSTA ANNE SUSA

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007878

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

12/09/2009