SARA ELIZABETH SURRATT Speech-Language Pathologist License verification

Business Entity

CANCELLED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002660

License Status

CANCELLED

Business

First Name

SARA

Middle

ELIZABETH

Last Name

SURRATT

Business Name

SARA ELIZABETH SURRATT

Original Issue Date

06/28/2013

Effective Date

06/28/2013

Expiration Date

06/28/2014

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/13/2015