SOPHIA KIMBERLY FANARA Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146018176

License Status

ACTIVE

Business

First Name

SOPHIA

Middle

KIMBERLY

Last Name

FANARA

Business Name

SOPHIA KIMBERLY FANARA

Original Issue Date

01/14/2025

Effective Date

10/30/2025

Expiration Date

10/31/2027

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

10/30/2025