MARY L FAFARA Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146010099

License Status

ACTIVE

Business

First Name

MARY L

Last Name

FAFARA

Business Name

MARY L FAFARA

Original Issue Date

12/09/2009

Effective Date

10/23/2025

Expiration Date

10/31/2027

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/23/2025