EMILY PATRICIA KOPPERUD Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147002070

License Status

ACTIVE

Business

First Name

EMILY

Middle

PATRICIA

Last Name

KOPPERUD

Business Name

EMILY PATRICIA KOPPERUD

Original Issue Date

08/12/2025

Effective Date

08/12/2025

Expiration Date

10/31/2027

City

GREEN BAY

State

Zip

54301

County

BROWN

Ever Disciplined

LastModifiedDate

08/13/2025