GRACE TACK Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242007124

License Status

EXPIRED

Business

First Name

GRACE

Last Name

TACK

Business Name

GRACE TACK

Original Issue Date

12/07/2022

Effective Date

12/07/2022

Expiration Date

06/07/2024

City

DAVIS

State

Zip

61019

Ever Disciplined

LastModifiedDate

01/08/2025