HAILEE NICOLE CLARK Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146016591

License Status

ACTIVE

Business

First Name

HAILEE

Middle

NICOLE

Last Name

CLARK

Business Name

HAILEE NICOLE CLARK

Original Issue Date

06/29/2022

Effective Date

10/14/2025

Expiration Date

10/31/2027

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

10/14/2025