STEPHANIE R GREEN Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146003822

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

GREEN

Business Name

STEPHANIE R GREEN

Original Issue Date

02/20/1992

Effective Date

09/24/2025

Expiration Date

10/31/2027

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

09/24/2025