LAURIE JEAN JOHANSEN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242003806

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

JEAN

Last Name

JOHANSEN

Business Name

LAURIE JEAN JOHANSEN

Original Issue Date

09/08/2015

Effective Date

09/08/2015

Expiration Date

09/08/2016

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

03/09/2017