ALEXIA ILIAN DERMA SALAZAR Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004726

License Status

NOT RENEWED

Business

First Name

ALEXIA

Middle

ILIAN

Last Name

DERMA SALAZAR

Business Name

ALEXIA ILIAN DERMA SALAZAR

Original Issue Date

09/27/2017

Effective Date

09/27/2018

Expiration Date

03/20/2020

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

11/19/2020