ANNA GABRIELLE PUCILOWSKI Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004639

License Status

EXPIRED

Business

First Name

ANNA

Middle

GABRIELLE

Last Name

PUCILOWSKI

Business Name

ANNA GABRIELLE PUCILOWSKI

Original Issue Date

08/10/2017

Effective Date

08/10/2017

Expiration Date

08/10/2018

City

CHAMPAIGN

State

Zip

61820

Ever Disciplined

LastModifiedDate

12/04/2018