SARA JOSEPHINE SIEGMUND Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001064

License Status

NOT RENEWED

Business

First Name

SARA

Middle

JOSEPHINE

Last Name

SIEGMUND

Business Name

SARA JOSEPHINE SIEGMUND

Original Issue Date

12/13/2002

Effective Date

09/10/2019

Expiration Date

01/31/2022

City

HEYWORTH

State

Zip

61745

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/18/2022