JACOB PAUL SAMUEL CARAVELLO Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001904

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

PAUL SAMUEL

Last Name

CARAVELLO

Business Name

JACOB PAUL SAMUEL CARAVELLO

Original Issue Date

08/10/2022

Effective Date

08/10/2022

Expiration Date

10/31/2023

City

WEST ALLIS

State

Zip

53214

Ever Disciplined

LastModifiedDate

03/28/2024