MALLORY LYNN ANNING Speech-Language Pathologist License verification

Business Entity

CANCELLED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002917

License Status

CANCELLED

Business

First Name

MALLORY

Middle

LYNN

Last Name

ANNING

Business Name

MALLORY LYNN ANNING

Original Issue Date

10/11/2013

Effective Date

10/11/2013

Expiration Date

10/11/2014

City

WILLIAMSVILLE

State

Zip

62693

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/13/2015