MICHELLE CAROL SOUTHERLY Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146028965

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

CAROL

Last Name

SOUTHERLY

Business Name

MICHELLE CAROL SOUTHERLY

Original Issue Date

03/15/2026

Effective Date

03/15/2026

Expiration Date

10/31/2027

City

AUGUSTA

State

Zip

26704

Ever Disciplined

LastModifiedDate

03/23/2026