KEELY REECE THEOBALD Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006216

License Status

EXPIRED

Business

First Name

KEELY

Middle

REECE

Last Name

THEOBALD

Business Name

KEELY REECE THEOBALD

Original Issue Date

05/19/2021

Effective Date

05/19/2021

Expiration Date

11/19/2022

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/15/2023