SHAWNDA M FULLER Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000955

License Status

ACTIVE

Business

First Name

SHAWNDA

Middle

Last Name

FULLER

Business Name

SHAWNDA M FULLER

Original Issue Date

07/21/2000

Effective Date

08/20/2025

Expiration Date

10/31/2027

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/20/2025