ALYSSA NICOLE GUSTAFSON Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005411

License Status

EXPIRED

Business

First Name

ALYSSA

Middle

NICOLE

Last Name

GUSTAFSON

Business Name

ALYSSA NICOLE GUSTAFSON

Original Issue Date

06/12/2019

Effective Date

06/12/2019

Expiration Date

12/12/2020

City

SAN DIEGO

State

Zip

92126

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

03/11/2021