ELIZABETH LEE JOHNSON Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007925

License Status

INACTIVE

Business

First Name

ELIZABETH

Middle

LEE

Last Name

JOHNSON

Business Name

ELIZABETH LEE JOHNSON

Original Issue Date

09/15/2004

Effective Date

08/03/2019

Expiration Date

01/31/2022

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2021