SHELBY ANN BLACK Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146017900

License Status

ACTIVE

Business

First Name

SHELBY

Middle

ANN

Last Name

BLACK

Business Name

SHELBY ANN BLACK

Original Issue Date

09/17/2024

Effective Date

10/14/2025

Expiration Date

10/31/2027

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/14/2025