KEELY REECE THEOBALD Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146016536

License Status

ACTIVE

Business

First Name

KEELY

Middle

REECE

Last Name

THEOBALD

Business Name

KEELY REECE THEOBALD

Original Issue Date

06/09/2022

Effective Date

10/28/2025

Expiration Date

10/31/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/28/2025