TAYLOR O'SULLIVAN WILDE Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004081

License Status

EXPIRED

Business

First Name

TAYLOR

Middle

O'SULLIVAN

Last Name

WILDE

Business Name

TAYLOR O'SULLIVAN WILDE

Original Issue Date

07/14/2016

Effective Date

07/14/2016

Expiration Date

07/14/2017

City

MEDWAY

State

Zip

02053

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/19/2017