KRISTIE NICOLE BROCKWAY - Speech-Language Pathologist License in Illinois | # 242005086

KRISTIE NICOLE BROCKWAY

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242005086

License Status

NOT RENEWED

Business

N

First Name

KRISTIE

Middle

NICOLE

Last Name

BROCKWAY

Business Name

KRISTIE NICOLE BROCKWAY

Original Issue Date

09/04/2018

Effective Date

09/04/2018

Expiration Date

03/03/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/19/2020