JACQUELINE MARIE TISH Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146012363

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

MARIE

Last Name

TISH

Business Name

JACQUELINE MARIE TISH

Original Issue Date

08/07/2014

Effective Date

08/25/2025

Expiration Date

10/31/2027

City

WHITE HEATH

State

Zip

61884

Ever Disciplined

LastModifiedDate

08/25/2025