KELLY CHRISTINA AZIM Speech-Language Pathologist License verification

Business Entity

INACTIVE

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007497

License Status

INACTIVE

Business

First Name

KELLY

Middle

CHRISTINA

Last Name

AZIM

Business Name

KELLY CHRISTINA AZIM

Original Issue Date

07/10/2003

Effective Date

08/11/2009

Expiration Date

10/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

08/03/2011