ANNA GABRIELLE PUCILOWSKI Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146014230

License Status

ACTIVE

Business

First Name

ANNA

Middle

GABRIELLE

Last Name

PUCILOWSKI

Business Name

ANNA GABRIELLE PUCILOWSKI

Original Issue Date

05/25/2018

Effective Date

10/11/2025

Expiration Date

10/31/2027

City

CHAMPAIGN

State

Zip

61820

Ever Disciplined

LastModifiedDate

10/11/2025