MIRANDA VICENTA PADILLA Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146012692

License Status

ACTIVE

Business

First Name

MIRANDA

Middle

VICENTA

Last Name

PADILLA

Business Name

MIRANDA VICENTA PADILLA

Original Issue Date

06/10/2015

Effective Date

10/02/2025

Expiration Date

10/31/2027

City

DOWNERS GROVE

State

Zip

60515

Ever Disciplined

LastModifiedDate

10/02/2025