TERESA L CLACK Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000497

License Status

ACTIVE

Business

First Name

TERESA L

Last Name

CLACK

Business Name

TERESA L CLACK

Original Issue Date

12/21/1990

Effective Date

10/11/2025

Expiration Date

10/31/2027

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/11/2025