JESSICA NIKITICHNA VANDERWAY - Speech-Language Pathologist License in Illinois | # 242005334

JESSICA NIKITICHNA VANDERWAY

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005334

License Status

EXPIRED

Business

N

First Name

JESSICA

Middle

NIKITICHNA

Last Name

VANDERWAY

Business Name

JESSICA NIKITICHNA VANDERWAY

Original Issue Date

06/07/2019

Effective Date

06/07/2019

Expiration Date

12/07/2020

State

IL

Ever Disciplined

N

LastModifiedDate

03/11/2021