VIVIAN DIANE SISSKIN Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146014640

License Status

ACTIVE

Business

First Name

VIVIAN

Middle

DIANE

Last Name

SISSKIN

Business Name

VIVIAN DIANE SISSKIN

Original Issue Date

12/14/2018

Effective Date

08/05/2025

Expiration Date

10/31/2027

City

VIENNA

State

Zip

22181

Ever Disciplined

LastModifiedDate

08/05/2025