New Jersey
Division of Consumer Affairs
Lori A Formisano
Speech Language Pathologist
License number
41YS00437100
Date granted
12/03/2002
Date expires
10/31/2017
Class
Speech Language Pathologist
Status
Active
Address
Hasbrouck Heights NJ
licensingnj.com
ID 7956964
LAST UPDATED 2024-04-13 06:50:56 UTC
LAST UPDATED 2024-04-13 06:50:56 UTC
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