ELLIE NICOLE WALLACE Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146018279

License Status

ACTIVE

Business

First Name

ELLIE

Middle

NICOLE

Last Name

WALLACE

Business Name

ELLIE NICOLE WALLACE

Original Issue Date

03/25/2025

Effective Date

10/28/2025

Expiration Date

10/31/2027

City

CASEY

State

Zip

62420

County

CLARK

Ever Disciplined

LastModifiedDate

10/28/2025