STACY RENEE SMITH Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146006511

License Status

ACTIVE

Business

First Name

STACY

Middle

RENEE

Last Name

SMITH

Business Name

STACY RENEE SMITH

Original Issue Date

12/29/2000

Effective Date

08/10/2025

Expiration Date

10/31/2027

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/10/2025