RILEY ALYSE BROTAN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006259

License Status

EXPIRED

Business

First Name

RILEY

Middle

ALYSE

Last Name

BROTAN

Business Name

RILEY ALYSE BROTAN

Original Issue Date

06/02/2021

Effective Date

06/02/2021

Expiration Date

12/02/2022

City

CALEDONIA

State

Zip

61011

County

BOONE

Ever Disciplined

LastModifiedDate

03/28/2024