License holder summary

BLOSSOM BEVERLY ANN is a Speech Language Pathology & Audiology - Licensees licensed to practice in California. The address on file for BLOSSOM BEVERLY ANN is STOCKTON. This licensed professional license is not current. The license was granted 07/08/1980 and expired on 02/29/2000.

California

Department of Consumer Affairs

BLOSSOM BEVERLY ANN
Speech Language Pathology & Audiology - Licensees
License number
4008
Date granted
07/08/1980
Date expires
02/29/2000
Class
Speech Language Pathology & Audiology - Licensees
Status
Canceled
Address
STOCKTON
californialicensing.org
ID 30983286
LAST UPDATED 2026-04-11 19:24:33 UTC

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