PRUDENCE BARBARA DELADEM MORTOTI Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005231

License Status

NOT RENEWED

Business

First Name

PRUDENCE

Middle

BARBARA DELADEM

Last Name

MORTOTI

Business Name

PRUDENCE BARBARA DELADEM MORTOTI

Original Issue Date

03/18/2019

Effective Date

03/18/2019

Expiration Date

09/18/2020

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

11/24/2020