MIRANDA J GULLBERG Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146012643

License Status

ACTIVE

Business

First Name

MIRANDA

Middle

Last Name

GULLBERG

Business Name

MIRANDA J GULLBERG

Original Issue Date

06/03/2015

Effective Date

08/26/2025

Expiration Date

10/31/2027

City

STRONGHURST

State

Zip

61480

County

HENDERSON

Ever Disciplined

LastModifiedDate

08/26/2025