TERRA K JOHNSON Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146014762

License Status

ACTIVE

Business

First Name

TERRA

Middle

Last Name

JOHNSON

Business Name

TERRA K JOHNSON

Original Issue Date

05/20/2019

Effective Date

08/04/2025

Expiration Date

10/31/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/04/2025