LARA HELENE MAMMINGA Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146014887

License Status

ACTIVE

Business

First Name

LARA

Middle

HELENE

Last Name

MAMMINGA

Business Name

LARA HELENE MAMMINGA

Original Issue Date

06/19/2019

Effective Date

08/06/2025

Expiration Date

10/31/2027

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

08/06/2025