NICOLE M BALASSONE Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147002021

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

BALASSONE

Business Name

NICOLE M BALASSONE

Original Issue Date

10/18/2024

Effective Date

09/29/2025

Expiration Date

10/31/2027

City

FORDS

State

Zip

08863

Ever Disciplined

LastModifiedDate

09/29/2025