DEBORAH PROVENZANO Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH-LANGUAGE PATHOLOGY ASSISTANT

License Number

217000055

License Status

ACTIVE

Business

First Name

DEBORAH

Last Name

PROVENZANO

Business Name

DEBORAH PROVENZANO

Original Issue Date

01/05/2005

Effective Date

09/05/2025

Expiration Date

10/31/2027

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/05/2025