STACEY MARIE MARTIN Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146011200

License Status

ACTIVE

Business

First Name

STACEY

Middle

MARIE

Last Name

MARTIN

Business Name

STACEY MARIE MARTIN

Original Issue Date

06/29/2012

Effective Date

10/07/2025

Expiration Date

10/31/2027

City

PLAINFIELD

State

Zip

60544

Ever Disciplined

LastModifiedDate

10/07/2025