TARA SHAWN SAMPLE Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146006392

License Status

ACTIVE

Business

First Name

TARA

Middle

SHAWN

Last Name

SAMPLE

Business Name

TARA SHAWN SAMPLE

Original Issue Date

08/08/2000

Effective Date

10/30/2025

Expiration Date

10/31/2027

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

10/30/2025