MICHELLE R STORK Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146004421

License Status

ACTIVE

Business

First Name

MICHELLE R

Last Name

STORK

Business Name

MICHELLE R STORK

Original Issue Date

07/30/1994

Effective Date

09/02/2025

Expiration Date

10/31/2027

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

09/02/2025