MICHELLE MARIE CLARK Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005641

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

MARIE

Last Name

CLARK

Business Name

MICHELLE MARIE CLARK

Original Issue Date

08/11/1998

Effective Date

10/07/2025

Expiration Date

10/31/2027

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/07/2025