TIFFANY TIEASHA BURKETT Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146008425

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

TIEASHA

Last Name

BURKETT

Business Name

TIFFANY TIEASHA BURKETT

Original Issue Date

12/01/2005

Effective Date

10/10/2025

Expiration Date

10/31/2027

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/10/2025