STACIE LYN MADDOX Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146006658

License Status

ACTIVE

Business

First Name

STACIE

Middle

LYN

Last Name

MADDOX

Business Name

STACIE LYN MADDOX

Original Issue Date

06/26/2001

Effective Date

08/10/2025

Expiration Date

10/31/2027

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

08/10/2025