ELIZABETH LOUISE POULSEN Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146016902

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

LOUISE

Last Name

POULSEN

Business Name

ELIZABETH LOUISE POULSEN

Original Issue Date

12/09/2022

Effective Date

10/22/2025

Expiration Date

10/31/2027

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/22/2025