ANTHONY DAVID STAFFORD Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004237

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

DAVID

Last Name

STAFFORD

Business Name

ANTHONY DAVID STAFFORD

Original Issue Date

09/27/2016

Effective Date

09/27/2016

Expiration Date

09/27/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017