ERIN SUSAN CONNELLY Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146008023

License Status

INACTIVE

Business

First Name

ERIN

Middle

SUSAN

Last Name

CONNELLY

Business Name

ERIN SUSAN CONNELLY

Original Issue Date

12/09/2004

Effective Date

01/29/2022

Expiration Date

10/31/2023

City

SOUTH BEND

State

Zip

46628

Ever Disciplined

LastModifiedDate

08/04/2023