TARA T CHILDRESS-JACKSON AUD Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147002020

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

CHILDRESS-JACKSON

Suffix

AUD

Business Name

TARA T CHILDRESS-JACKSON AUD

Original Issue Date

10/09/2024

Effective Date

10/04/2025

Expiration Date

10/31/2027

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/04/2025