KIMBERLY K WALSTON Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146003853

License Status

INACTIVE

Business

First Name

KIMBERLY K

Last Name

WALSTON

Business Name

KIMBERLY K WALSTON

Original Issue Date

04/27/1992

Effective Date

10/31/2001

Expiration Date

10/31/2001

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005