STACY MARIE LARSON Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005844

License Status

ACTIVE

Business

First Name

STACY

Middle

MARIE

Last Name

LARSON

Business Name

STACY MARIE LARSON

Original Issue Date

01/11/1999

Effective Date

09/10/2025

Expiration Date

10/31/2027

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

09/10/2025