GRACE LANE BROADWAY Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242007704

License Status

EXPIRED

Business

First Name

GRACE

Middle

LANE

Last Name

BROADWAY

Business Name

GRACE LANE BROADWAY

Original Issue Date

05/23/2024

Effective Date

05/23/2024

Expiration Date

11/23/2025

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/04/2026