SUSAN B JOHNSON Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146008590

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

JOHNSON

Business Name

SUSAN B JOHNSON

Original Issue Date

06/08/2006

Effective Date

06/08/2006

Expiration Date

10/31/2007

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

12/05/2007