MAKENZIE PETTIT Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004790

License Status

EXPIRED

Business

First Name

MAKENZIE

Last Name

PETTIT

Business Name

MAKENZIE PETTIT

Original Issue Date

07/02/2018

Effective Date

07/02/2018

Expiration Date

01/02/2020

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/05/2020