JACOB NATHANIEL DE GALICIA Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006748

License Status

EXPIRED

Business

First Name

JACOB

Middle

NATHANIEL

Last Name

DE GALICIA

Business Name

JACOB NATHANIEL DE GALICIA

Original Issue Date

06/17/2022

Effective Date

06/17/2022

Expiration Date

12/17/2023

City

CHICAGO

State

Zip

60647

Ever Disciplined

LastModifiedDate

01/08/2025