ADDISON MARIE JEAN BAKER Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146018121

License Status

ACTIVE

Business

First Name

ADDISON

Middle

MARIE JEAN

Last Name

BAKER

Business Name

ADDISON MARIE JEAN BAKER

Original Issue Date

12/17/2024

Effective Date

10/24/2025

Expiration Date

10/31/2027

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/24/2025