JILL M ANDERSON Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000504

License Status

NOT RENEWED

Business

First Name

JILL M

Last Name

ANDERSON

Business Name

JILL M ANDERSON

Original Issue Date

01/25/1991

Effective Date

09/17/2003

Expiration Date

10/31/2005

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/22/2005