KRISTI KAY BOURISAW Speech-Language Pathologist License verification

Business Entity

ACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146006466

License Status

ACTIVE

Business

First Name

KRISTI

Middle

KAY

Last Name

BOURISAW

Business Name

KRISTI KAY BOURISAW

Original Issue Date

10/19/2000

Effective Date

08/06/2025

Expiration Date

10/31/2027

City

COLUMBIA

State

Zip

62236

Ever Disciplined

LastModifiedDate

08/06/2025