GEORGIA JEAN PETERSEN Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005620

License Status

NOT RENEWED

Business

First Name

GEORGIA

Middle

JEAN

Last Name

PETERSEN

Business Name

GEORGIA JEAN PETERSEN

Original Issue Date

08/29/2019

Effective Date

08/29/2019

Expiration Date

02/28/2021

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021