MELISSA DAWN BASTIDA Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146010894

License Status

ACTIVE

Business

First Name

MELISSA

Middle

DAWN

Last Name

BASTIDA

Business Name

MELISSA DAWN BASTIDA

Original Issue Date

09/08/2011

Effective Date

10/02/2025

Expiration Date

10/31/2027

City

MONTGOMERY

State

Zip

60538

Ever Disciplined

LastModifiedDate

10/02/2025