MARY T GUSTAFSON Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146008173

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

GUSTAFSON

Business Name

MARY T GUSTAFSON

Original Issue Date

06/09/2005

Effective Date

11/01/2025

Expiration Date

10/31/2027

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

11/01/2025