PATRICIA KAY AWALT Speech-Language Pathologist License verification

Business Entity

NOT RENEWED

License Type

Speech-Language Pathologist

Description

SPEECH LANGUAGE PATHOLOGIST

License Number

146010052

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

KAY

Last Name

AWALT

Business Name

PATRICIA KAY AWALT

Original Issue Date

10/01/2009

Effective Date

10/22/2019

Expiration Date

01/31/2022

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/18/2022