SANDI GREENE DEFORD Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000582

License Status

ACTIVE

Business

First Name

SANDI

Last Name

GREENE DEFORD

Business Name

SANDI GREENE DEFORD

Original Issue Date

07/28/1992

Effective Date

10/20/2025

Expiration Date

10/31/2027

City

LEWISTOWN

State

Zip

61542

Ever Disciplined

LastModifiedDate

11/11/2025