SHANE EMERY DODGE - Speech-Language Pathologist License in Illinois | # 147001494

SHANE EMERY DODGE

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001494

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

EMERY

Last Name

DODGE

Business Name

SHANE EMERY DODGE

Original Issue Date

02/25/2014

Effective Date

10/18/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022