KRISTA ANN DAVIS Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146007796

License Status

NOT RENEWED

Business

First Name

KRISTA

Middle

ANN

Last Name

DAVIS

Business Name

KRISTA ANN DAVIS

Original Issue Date

06/09/2004

Effective Date

06/09/2004

Expiration Date

10/31/2005

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

12/22/2005