SHANNON M POWELL Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001051

License Status

ACTIVE

Business

First Name

SHANNON

Middle

Last Name

POWELL

Business Name

SHANNON M POWELL

Original Issue Date

09/24/2002

Effective Date

09/19/2025

Expiration Date

10/31/2027

City

IRON MOUNTAIN

State

Zip

49801

Ever Disciplined

LastModifiedDate

09/19/2025