MEGAN MARIE WALLACE Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001429

License Status

ACTIVE

Business

First Name

MEGAN

Middle

MARIE

Last Name

WALLACE

Business Name

MEGAN MARIE WALLACE

Original Issue Date

07/30/2012

Effective Date

10/14/2025

Expiration Date

10/31/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/14/2025