LISA G CLARK Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146011611

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

CLARK

Business Name

LISA G CLARK

Original Issue Date

06/10/2013

Effective Date

10/16/2025

Expiration Date

10/31/2027

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/16/2025