SALLY F ETZENBACH Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146013159

License Status

ACTIVE

Business

First Name

SALLY

Middle

Last Name

ETZENBACH

Business Name

SALLY F ETZENBACH

Original Issue Date

05/25/2016

Effective Date

10/31/2025

Expiration Date

10/31/2027

City

GRANVILLE

State

Zip

61326

County

PUTNAM

Ever Disciplined

LastModifiedDate

10/31/2025