SUSAN G PRENDERGAST Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000314

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

PRENDERGAST

Business Name

SUSAN G PRENDERGAST

Original Issue Date

08/30/1989

Effective Date

12/30/2011

Expiration Date

10/31/2013

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/10/2013