AMY VIRGINIA THEIEN Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005794

License Status

ACTIVE

Business

First Name

AMY

Middle

VIRGINIA

Last Name

THEIEN

Business Name

AMY VIRGINIA THEIEN

Original Issue Date

11/13/1998

Effective Date

08/05/2025

Expiration Date

10/31/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/05/2025