SAMANTHA JULIET SOPHIEA-FAIRMONT Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005472

License Status

EXPIRED

Business

First Name

SAMANTHA

Middle

JULIET

Last Name

SOPHIEA-FAIRMONT

Business Name

SAMANTHA JULIET SOPHIEA-FAIRMONT

Original Issue Date

06/21/2019

Effective Date

06/21/2019

Expiration Date

12/21/2020

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2021