KYLIE ELLEN FARISON Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146016655

License Status

ACTIVE

Business

First Name

KYLIE

Middle

ELLEN

Last Name

FARISON

Business Name

KYLIE ELLEN FARISON

Original Issue Date

07/21/2022

Effective Date

10/31/2025

Expiration Date

10/31/2027

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/31/2025