CARLY M KUPERSMITH Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005119

License Status

NOT RENEWED

Business

First Name

CARLY

Middle

Last Name

KUPERSMITH

Business Name

CARLY M KUPERSMITH

Original Issue Date

09/05/2018

Effective Date

09/05/2018

Expiration Date

03/04/2020

City

STOCKTON

State

Zip

61085

Ever Disciplined

LastModifiedDate

11/19/2020