ALEXANDRA R BERGSTEN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006103

License Status

EXPIRED

Business

First Name

ALEXANDRA

Middle

Last Name

BERGSTEN

Business Name

ALEXANDRA R BERGSTEN

Original Issue Date

09/02/2020

Effective Date

09/02/2020

Expiration Date

03/02/2022

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/15/2023