GRACE CARLENE GUSTAFSON - Speech-Language Pathologist License in Illinois | # 242004519

GRACE CARLENE GUSTAFSON

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004519

License Status

EXPIRED

Business

N

First Name

GRACE

Middle

CARLENE

Last Name

GUSTAFSON

Business Name

GRACE CARLENE GUSTAFSON

Original Issue Date

07/24/2017

Effective Date

07/24/2017

Expiration Date

07/24/2018

State

IL

Ever Disciplined

N

LastModifiedDate

12/04/2018