TARA ANN JOY WALLER Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED AUDIOLOGIST

License Number

147001893

License Status

NOT RENEWED

Business

First Name

TARA

Middle

ANN JOY

Last Name

WALLER

Business Name

TARA ANN JOY WALLER

Original Issue Date

07/08/2022

Effective Date

07/08/2022

Expiration Date

10/31/2023

City

SAINT LOUIS

State

Zip

63112

Ever Disciplined

LastModifiedDate

03/28/2024