ELLEN N DIXON Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004106

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

DIXON

Business Name

ELLEN N DIXON

Original Issue Date

07/18/2016

Effective Date

06/21/2017

Expiration Date

06/21/2018

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/25/2018