CHARLES CARLISLE ELLIS Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146013577

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

CARLISLE

Last Name

ELLIS

Business Name

CHARLES CARLISLE ELLIS

Original Issue Date

12/08/2016

Effective Date

12/08/2016

Expiration Date

10/31/2017

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

01/04/2018