SANDRA L BROADDUS Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000688

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

BROADDUS

Business Name

SANDRA L BROADDUS

Original Issue Date

09/17/1994

Effective Date

12/11/2007

Expiration Date

10/31/2009

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

12/09/2009