TAYLOR O'SULLIVAN WILDE Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146013844

License Status

INACTIVE

Business

First Name

TAYLOR

Middle

O'SULLIVAN

Last Name

WILDE

Business Name

TAYLOR O'SULLIVAN WILDE

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

10/31/2017

City

MEDWAY

State

Zip

02053

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

08/03/2017