License holder summary

TACKETT GENE RUSSELL is a Speech Language Pathology & Audiology - Licensees licensed to practice in California. The address on file for TACKETT GENE RUSSELL is SUSANVILLE. This licensed professional license is not current. The license was granted 11/12/2003 and expired on 01/31/2007.

California

Department of Consumer Affairs

TACKETT GENE RUSSELL
Speech Language Pathology & Audiology - Licensees
License number
13782
Date granted
11/12/2003
Date expires
01/31/2007
Class
Speech Language Pathology & Audiology - Licensees
Status
Canceled
Address
SUSANVILLE
californialicensing.org
ID 30983540
LAST UPDATED 2024-03-09 16:02:59 UTC

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