GRACE TACK Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146017182

License Status

ACTIVE

Business

First Name

GRACE

Last Name

TACK

Business Name

GRACE TACK

Original Issue Date

06/28/2023

Effective Date

08/04/2025

Expiration Date

10/31/2027

City

DAVIS

State

Zip

61019

Ever Disciplined

LastModifiedDate

10/09/2025