STACY A BERRY Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005632

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

BERRY

Business Name

STACY A BERRY

Original Issue Date

07/30/1998

Effective Date

10/15/2025

Expiration Date

10/31/2027

City

PEORIA

State

Zip

61614

Ever Disciplined

LastModifiedDate

01/21/2026