MIKALA FAY WILDER Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007288

License Status

ACTIVE

Business

First Name

MIKALA

Middle

FAY

Last Name

WILDER

Business Name

MIKALA FAY WILDER

Original Issue Date

11/18/2002

Effective Date

09/13/2025

Expiration Date

10/31/2027

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

09/13/2025