STACIA D GIBSON Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146006992

License Status

NOT RENEWED

Business

First Name

STACIA

Middle

Last Name

GIBSON

Business Name

STACIA D GIBSON

Original Issue Date

04/19/2002

Effective Date

09/08/2015

Expiration Date

10/31/2017

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

01/04/2018