TRACI KRISTINE MARTIN Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146008086

License Status

ACTIVE

Business

First Name

TRACI

Middle

KRISTINE

Last Name

MARTIN

Business Name

TRACI KRISTINE MARTIN

Original Issue Date

02/24/2005

Effective Date

08/10/2025

Expiration Date

10/31/2027

City

TEUTOPOLIS

State

Zip

62467

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

08/10/2025