MCKENZIE GRACE FOREMAN Speech-Language Pathologist License verification

Business Entity

EXPIRED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242006901

License Status

EXPIRED

Business

First Name

MCKENZIE

Middle

GRACE

Last Name

FOREMAN

Business Name

MCKENZIE GRACE FOREMAN

Original Issue Date

07/19/2022

Effective Date

07/19/2022

Expiration Date

01/19/2024

City

FORT WAYNE

State

Zip

46845

Ever Disciplined

LastModifiedDate

01/08/2025