SUSAN B MANGUM Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000645

License Status

NOT RENEWED

Business

First Name

SUSAN B

Last Name

MANGUM

Business Name

SUSAN B MANGUM

Original Issue Date

10/19/1993

Expiration Date

10/31/1995

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/28/2005