KRISTIN R BURNSIDE Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146008188

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

BURNSIDE

Business Name

KRISTIN R BURNSIDE

Original Issue Date

06/16/2005

Effective Date

10/22/2019

Expiration Date

01/31/2022

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/18/2022