GRACE CARLENE GUSTAFSON Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146014407

License Status

ACTIVE

Business

First Name

GRACE

Middle

CARLENE

Last Name

GUSTAFSON

Business Name

GRACE CARLENE GUSTAFSON

Original Issue Date

07/16/2018

Effective Date

10/28/2025

Expiration Date

10/31/2027

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/28/2025