STACY M PUCKETT Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146012914

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

PUCKETT

Business Name

STACY M PUCKETT

Original Issue Date

08/26/2015

Effective Date

11/02/2017

Expiration Date

10/31/2019

City

INOLA

State

Zip

74036

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

01/23/2020