JENELLE HELENE EZCURRA SANDY Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001386

License Status

NOT RENEWED

Business

First Name

JENELLE

Middle

HELENE

Last Name

EZCURRA SANDY

Business Name

JENELLE HELENE EZCURRA SANDY

Original Issue Date

06/09/2011

Effective Date

10/09/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022