SAMANTHA DIANNE BOZARTH Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005724

License Status

EXPIRED

Business

First Name

SAMANTHA

Middle

DIANNE

Last Name

BOZARTH

Business Name

SAMANTHA DIANNE BOZARTH

Original Issue Date

05/29/2020

Effective Date

05/29/2020

Expiration Date

11/29/2021

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/18/2022