AMBER KRISTINE DAVIS Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

LICENSED SPEECH LANGUAGE PATHOLOGY TEMPORARY

License Number

242004185

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

KRISTINE

Last Name

DAVIS

Business Name

AMBER KRISTINE DAVIS

Original Issue Date

08/23/2016

Effective Date

08/23/2016

Expiration Date

08/23/2017

City

POCATELLO

State

Zip

83204

Ever Disciplined

LastModifiedDate

11/01/2017