KACY JALICE WICKERSON Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146014584

License Status

NOT RENEWED

Business

First Name

KACY

Middle

JALICE

Last Name

WICKERSON

Business Name

KACY JALICE WICKERSON

Original Issue Date

10/11/2018

Effective Date

10/10/2019

Expiration Date

01/31/2022

City

BELLEVILLE

State

Zip

62221

Ever Disciplined

LastModifiedDate

05/18/2022