ELIZABETH LOUISE POULSEN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006381

License Status

EXPIRED

Business

First Name

ELIZABETH

Middle

LOUISE

Last Name

POULSEN

Business Name

ELIZABETH LOUISE POULSEN

Original Issue Date

06/26/2021

Effective Date

06/26/2021

Expiration Date

12/26/2022

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

03/28/2024