ELIZY SMITH Speech-Language Pathologist License verification

Business Entity

CANCELLED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242002555

License Status

CANCELLED

Business

First Name

ELIZY

Last Name

SMITH

Business Name

ELIZY SMITH

Original Issue Date

12/12/2012

Effective Date

11/22/2013

Expiration Date

11/22/2014

City

MERRILLVILLE

State

Zip

46410

Ever Disciplined

LastModifiedDate

03/13/2015