MARY H RUSSO Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001414

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

RUSSO

Business Name

MARY H RUSSO

Original Issue Date

10/19/2011

Effective Date

09/24/2019

Expiration Date

01/31/2022

City

EUREKA

State

Zip

63025

Ever Disciplined

LastModifiedDate

05/18/2022