BETH ANN WALLACE Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147000988

License Status

ACTIVE

Business

First Name

BETH

Middle

ANN

Last Name

WALLACE

Business Name

BETH ANN WALLACE

Original Issue Date

06/19/2001

Effective Date

09/05/2025

Expiration Date

10/31/2027

City

LASALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/05/2025