LARA HELENE MAMMINGA Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004803

License Status

EXPIRED

Business

First Name

LARA

Middle

HELENE

Last Name

MAMMINGA

Business Name

LARA HELENE MAMMINGA

Original Issue Date

07/18/2018

Effective Date

07/18/2018

Expiration Date

01/18/2020

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

03/05/2020