LAURA L BASTIN Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004468

License Status

ACTIVE

Business

First Name

LAURA L

Last Name

BASTIN

Business Name

LAURA L BASTIN

Original Issue Date

10/05/1994

Effective Date

10/01/2025

Expiration Date

10/31/2027

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

10/01/2025