TAYLER R FAZIL Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001658

License Status

ACTIVE

Business

First Name

TAYLER

Middle

Last Name

FAZIL

Business Name

TAYLER R FAZIL

Original Issue Date

11/16/2017

Effective Date

08/27/2025

Expiration Date

10/31/2027

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

08/27/2025