ELLIE NICOLE WALLACE Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242007619

License Status

EXPIRED

Business

First Name

ELLIE

Middle

NICOLE

Last Name

WALLACE

Business Name

ELLIE NICOLE WALLACE

Original Issue Date

11/16/2023

Effective Date

11/16/2023

Expiration Date

05/16/2025

City

CASEY

State

Zip

62420

County

CLARK

Ever Disciplined

LastModifiedDate

10/29/2025