STACEY ANN VITALE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146006408

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

ANN

Last Name

VITALE

Business Name

STACEY ANN VITALE

Original Issue Date

08/25/2000

Effective Date

09/28/2015

Expiration Date

10/31/2017

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/04/2018