ELIZABETH WENTWORTH BIERBAUM Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146009714

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

WENTWORTH

Last Name

BIERBAUM

Business Name

ELIZABETH WENTWORTH BIERBAUM

Original Issue Date

03/10/2009

Effective Date

10/28/2025

Expiration Date

10/31/2027

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/28/2025