STACI LEA DIRKS Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146011290

License Status

ACTIVE

Business

First Name

STACI

Middle

LEA

Last Name

DIRKS

Business Name

STACI LEA DIRKS

Original Issue Date

08/02/2012

Effective Date

08/05/2025

Expiration Date

10/31/2027

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

08/05/2025