License holder summary

GUSTAFSON PHILLIP WAYNE is a Speech Language Pathology & Audiology - Licensees licensed to practice in California. The address on file for GUSTAFSON PHILLIP WAYNE is SAN FRANCISCO. This licensed professional license is current. The license was granted 09/22/2004 and expired on 12/31/2015.

California

Department of Consumer Affairs

GUSTAFSON PHILLIP WAYNE
Speech Language Pathology & Audiology - Licensees
License number
14226
Date granted
09/22/2004
Date expires
12/31/2015
Class
Speech Language Pathology & Audiology - Licensees
Status
Valid
Address
SAN FRANCISCO
californialicensing.org
ID 30981130
LAST UPDATED 2024-04-08 19:41:54 UTC

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