ANNA MARIE TARAVELLA Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000942

License Status

ACTIVE

Business

First Name

ANNA

Middle

MARIE

Last Name

TARAVELLA

Business Name

ANNA MARIE TARAVELLA

Original Issue Date

04/19/2000

Effective Date

09/10/2025

Expiration Date

10/31/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/10/2025