ELIZABETH ANNE ICE Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002150

License Status

EXPIRED

Business

First Name

ELIZABETH

Middle

ANNE

Last Name

ICE

Business Name

ELIZABETH ANNE ICE

Original Issue Date

12/28/2011

Effective Date

12/28/2011

Expiration Date

12/28/2012

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/11/2013