TRACEY F GUSTAFSON Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005148

License Status

ACTIVE

Business

First Name

TRACEY

Middle

Last Name

GUSTAFSON

Business Name

TRACEY F GUSTAFSON

Original Issue Date

02/25/1997

Effective Date

10/17/2025

Expiration Date

10/31/2027

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2025