SAMANTHA DIANNE BOZARTH Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146016023

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

DIANNE

Last Name

BOZARTH

Business Name

SAMANTHA DIANNE BOZARTH

Original Issue Date

06/30/2021

Effective Date

08/06/2025

Expiration Date

10/31/2027

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/06/2025