GISSEL NOEMI PENA Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242007852

License Status

ACTIVE

Business

First Name

GISSEL

Middle

NOEMI

Last Name

PENA

Business Name

GISSEL NOEMI PENA

Original Issue Date

07/05/2024

Effective Date

07/05/2024

Expiration Date

01/05/2026

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

07/05/2024