HEIDI SHANTZ BANICKI Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004674

License Status

ACTIVE

Business

First Name

HEIDI

Last Name

SHANTZ BANICKI

Business Name

HEIDI SHANTZ BANICKI

Original Issue Date

07/13/1995

Effective Date

10/07/2025

Expiration Date

10/31/2027

City

SARASOTA

State

Zip

34239

Ever Disciplined

LastModifiedDate

10/07/2025