NATASHA ELIZABETH BULLOCK REST Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146012945

License Status

ACTIVE

Business

First Name

NATASHA

Middle

ELIZABETH

Last Name

BULLOCK REST

Business Name

NATASHA ELIZABETH BULLOCK REST

Original Issue Date

09/21/2015

Effective Date

11/03/2025

Expiration Date

10/31/2027

City

FAYETTEVILLE

State

Zip

72703

Ever Disciplined

LastModifiedDate

11/03/2025