CORLIS J BERCHIOLLY Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146003072

License Status

NOT RENEWED

Business

First Name

CORLIS

Middle

Last Name

BERCHIOLLY

Business Name

CORLIS J BERCHIOLLY

Original Issue Date

09/26/1989

Effective Date

11/01/2019

Expiration Date

01/31/2022

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/18/2022