SAMANTHA JOY TIDEMAN Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146013608

License Status

INACTIVE

Business

First Name

SAMANTHA

Middle

JOY

Last Name

TIDEMAN

Business Name

SAMANTHA JOY TIDEMAN

Original Issue Date

02/08/2017

Effective Date

08/09/2019

Expiration Date

01/31/2022

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

11/11/2021