COREY CHARLES BOLEN Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146011312

License Status

ACTIVE

Business

First Name

COREY

Middle

CHARLES

Last Name

BOLEN

Business Name

COREY CHARLES BOLEN

Original Issue Date

08/13/2012

Effective Date

09/30/2025

Expiration Date

10/31/2027

City

O FALLON

State

Zip

63368

Ever Disciplined

LastModifiedDate

09/30/2025