KIMBERLY D RUSSO Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146005022

License Status

NOT RENEWED

Business

First Name

KIMBERLY D

Last Name

RUSSO

Business Name

KIMBERLY D RUSSO

Original Issue Date

08/31/1996

Expiration Date

10/31/1997

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005